Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $246.87 / $3,740.00	Facility		$61.42	$246.87	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $192.63 / $241.56	Professional		$61.42	$192.63	$241.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $155.91 / $243.21	Professional		$61.88	$155.91	$243.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $94.92 / $109.50	Facility		$69.16	$94.92	$109.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $110.29 / $318.04	Professional		$80.68	$110.29	$318.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $124.75 / $124.75	Facility		$124.75	$124.75	$124.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $267.92 / $507.14	Professional		$88.10	$267.92	$507.14
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 $231.55 / $349.48 / $515.20	Professional		$231.55	$349.48	$515.20