Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $134.09 / $3,740.00	Facility		$63.79	$134.09	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $120.41 / $160.19	Professional		$63.79	$120.41	$160.19
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 $51.93 / $62.93 / $100.81	Professional		$51.93	$62.93	$100.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $88.06 / $101.59	Facility		$64.51	$88.06	$101.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $100.64 / $187.73	Professional		$72.34	$100.64	$187.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $115.74 / $115.74	Facility		$101.00	$115.74	$115.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $127.78 / $261.25	Professional		$67.87	$127.78	$261.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $114.12 / $162.40 / $275.33	Professional		$114.12	$162.40	$275.33