Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $124.37 / $5,320.00	Facility		$65.45	$124.37	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $106.02 / $141.50	Professional		$57.60	$106.02	$141.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,191.00 / $4,066.00	Facility		$1,258.00	$2,191.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $86.45 / $138.29	Professional		$47.70	$86.45	$138.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $78.76 / $91.96	Facility		$64.69	$78.76	$91.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $92.49 / $226.12	Professional		$61.99	$92.49	$226.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $116.69 / $116.69	Facility		$65.17	$116.69	$116.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $118.71 / $240.12	Professional		$66.51	$118.71	$240.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.97	Professional		$32.34	$32.34	$146.97
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 $114.13 / $139.31 / $223.19	Professional		$114.13	$139.31	$223.19