Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $557.00 / $3,309.46	Facility		$131.19	$557.00	$3,309.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $272.07 / $618.29	Professional		$102.59	$272.07	$618.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $284.12 / $680.34	Professional		$76.87	$284.12	$680.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $166.96 / $192.60	Facility		$116.98	$166.96	$192.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $171.23 / $482.20	Professional		$131.19	$171.23	$482.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $219.44 / $267.89	Facility		$219.44	$219.44	$267.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $343.18 / $1,087.08	Professional		$132.04	$343.18	$1,087.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $421.66	Professional		$32.34	$32.34	$421.66
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 $386.70 / $649.77 / $1,112.38	Professional		$386.70	$649.77	$1,112.38