Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $787.00 / $8,229.00	Facility		$75.39	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $77.51 / $96.70	Professional		$75.39	$77.51	$96.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,467.32 / $5,018.00 / $11,253.00	Facility		$2,467.32	$5,018.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $101.42 / $140.68	Professional		$80.77	$101.42	$140.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $102.31 / $118.03	Facility		$74.54	$102.31	$118.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $102.31 / $146.16	Professional		$84.04	$102.31	$146.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $119.65	Facility		$89.88	$89.88	$119.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $122.98 / $197.44	Professional		$78.95	$122.98	$197.44
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $128.85 / $158.87	Professional		$76.19	$128.85	$158.87