Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $366.44 / $5,320.00	Facility		$81.75	$366.44	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $162.18 / $284.68	Professional		$93.34	$162.18	$284.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $142.61 / $276.07	Professional		$106.95	$142.61	$276.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $125.78 / $145.08	Facility		$88.38	$125.78	$145.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $126.67 / $220.57	Professional		$98.82	$126.67	$220.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $360.83	Facility		$165.31	$165.31	$360.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $286.61 / $460.55	Professional		$157.94	$286.61	$460.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.72 / $167.79	Professional		$32.34	$67.72	$167.79
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 $232.70 / $319.97 / $516.51	Professional		$232.70	$319.97	$516.51