Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.46 / $371.06 / $5,320.00	Facility		$99.46	$371.06	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $195.14 / $249.84	Professional		$83.43	$195.14	$249.84
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 $79.14 / $178.23 / $281.57	Professional		$79.14	$178.23	$281.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $126.59 / $146.03	Facility		$92.23	$126.59	$146.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $144.66 / $423.10	Professional		$107.60	$144.66	$423.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $166.37 / $166.37	Facility		$166.37	$166.37	$166.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $248.29 / $452.12	Professional		$109.01	$248.29	$452.12
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 $198.32 / $315.98 / $452.73	Professional		$198.32	$315.98	$452.73