Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $416.00 / $3,740.00	Facility		$78.97	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $312.64 / $501.22	Professional		$69.94	$312.64	$501.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $345.83 / $577.61	Professional		$66.89	$345.83	$577.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $105.17 / $121.32	Facility		$76.62	$105.17	$121.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $108.92 / $484.75	Professional		$86.39	$108.92	$484.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $138.22 / $138.22	Facility		$138.22	$138.22	$138.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $375.77 / $972.86	Professional		$91.67	$375.77	$972.86
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 $416.86 / $663.08 / $920.56	Professional		$416.86	$663.08	$920.56