Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $137.56 / $2,747.00	Facility		$54.93	$137.56	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $88.21 / $118.33	Professional		$44.21	$88.21	$118.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $63.66 / $103.06	Professional		$46.47	$63.66	$103.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $67.42 / $76.20	Facility		$49.94	$67.42	$76.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $111.42 / $162.06	Professional		$62.43	$111.42	$162.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $91.89 / $91.89	Facility		$69.37	$91.89	$91.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $88.89 / $174.29	Professional		$52.38	$88.89	$174.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $103.32 / $173.10	Professional		$79.48	$103.32	$173.10