Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $369.60 / $3,854.85	Facility		$57.82	$369.60	$3,854.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $179.21 / $293.79	Professional		$53.32	$179.21	$293.79
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 $41.09 / $144.80 / $263.61	Professional		$41.09	$144.80	$263.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $73.58 / $84.89	Facility		$51.75	$73.58	$84.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $74.11 / $278.38	Professional		$51.38	$74.11	$278.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $96.71 / $96.71	Facility		$61.38	$96.71	$96.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $195.39 / $419.60	Professional		$61.39	$195.39	$419.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.55	Professional		$32.34	$32.34	$240.55
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 $217.56 / $308.94 / $456.66	Professional		$217.56	$308.94	$456.66