Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $150.06 / $5,320.00	Facility		$79.50	$150.06	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $124.01 / $154.47	Professional		$73.03	$124.01	$154.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,516.00	Facility		$1,359.00	$2,292.00	$4,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $111.55 / $147.91	Professional		$69.73	$111.55	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $104.90 / $124.32	Facility		$77.70	$104.90	$124.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $150.06 / $218.27	Professional		$97.13	$150.06	$218.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $142.97 / $1,111.00	Facility		$142.97	$142.97	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $137.50 / $278.54	Professional		$80.80	$137.50	$278.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.35	Professional		$32.34	$32.34	$177.35
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $162.56 / $240.20	Professional		$127.54	$162.56	$240.20