Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.06 / $292.77 / $2,747.00	Facility		$94.06	$292.77	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $203.40 / $358.63	Professional		$92.11	$203.40	$358.63
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 $108.58 / $133.71 / $247.95	Professional		$108.58	$133.71	$247.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $122.82 / $141.68	Facility		$85.62	$122.82	$141.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $126.72 / $276.45	Professional		$87.73	$126.72	$276.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $173.52	Facility		$161.41	$161.41	$173.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $245.82 / $465.90	Professional		$134.30	$245.82	$465.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.91	Professional		$32.34	$32.34	$247.91
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 $220.39 / $285.85 / $469.91	Professional		$220.39	$285.85	$469.91