Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $141.97 / $3,740.00	Facility		$44.81	$141.97	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $116.66 / $141.30	Professional		$44.81	$116.66	$141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $101.63 / $140.75	Professional		$45.46	$101.63	$140.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $68.39 / $78.89	Facility		$49.82	$68.39	$78.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $78.16 / $193.18	Professional		$58.13	$78.16	$193.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $89.88	Facility		$89.88	$89.88	$89.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $160.75 / $291.73	Professional		$64.88	$160.75	$291.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $215.88 / $309.33	Professional		$133.11	$215.88	$309.33