Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $279.00 / $5,320.00	Facility		$97.12	$279.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $145.66 / $205.82	Professional		$80.58	$145.66	$205.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $156.22 / $234.93	Professional		$95.07	$156.22	$234.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $109.66 / $128.02	Facility		$90.06	$109.66	$128.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $144.50 / $317.86	Professional		$86.30	$144.50	$317.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $1,587.00	Facility		$162.44	$162.44	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $187.00 / $353.09	Professional		$99.99	$187.00	$353.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.61	Professional		$32.34	$32.34	$206.61
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 $145.97 / $214.28 / $337.03	Professional		$145.97	$214.28	$337.03