Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $216.11 / $5,320.00	Facility		$60.89	$216.11	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $142.99 / $290.68	Professional		$57.78	$142.99	$290.68
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 $104.08 / $122.45 / $223.76	Professional		$104.08	$122.45	$223.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $77.48 / $89.40	Facility		$53.87	$77.48	$89.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $78.04 / $194.66	Professional		$60.89	$78.04	$194.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $123.71	Facility		$101.84	$101.84	$123.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $226.66 / $430.52	Professional		$98.27	$226.66	$430.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.96	Professional		$32.34	$32.34	$175.96
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 $220.55 / $306.30 / $493.67	Professional		$220.55	$306.30	$493.67