Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $536.47 / $3,740.00	Facility		$86.21	$536.47	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $478.86 / $648.17	Professional		$76.04	$478.86	$648.17
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 $69.40 / $512.04 / $868.87	Professional		$69.40	$512.04	$868.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.96 / $115.25 / $132.94	Facility		$83.96	$115.25	$132.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $119.36 / $743.81	Professional		$94.67	$119.36	$743.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $151.47 / $151.47	Facility		$151.47	$151.47	$151.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $555.23 / $1,389.32	Professional		$99.11	$555.23	$1,389.32
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 $653.44 / $987.63 / $1,315.57	Professional		$653.44	$987.63	$1,315.57