Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $142.60 / $3,740.00	Facility		$66.08	$142.60	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $122.98 / $139.74	Professional		$59.57	$122.98	$139.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $123.52 / $324.74	Professional		$59.73	$123.52	$324.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $88.96 / $102.62	Facility		$65.20	$88.96	$102.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $101.66 / $259.27	Professional		$75.61	$101.66	$259.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $116.91 / $116.91	Facility		$76.73	$116.91	$116.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $142.22 / $268.31	Professional		$71.98	$142.22	$268.31
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $167.45 / $285.14	Professional		$119.93	$167.45	$285.14