Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $198.39 / $5,320.00	Facility		$33.90	$198.39	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $134.19 / $186.93	Professional		$36.15	$134.19	$186.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $119.22 / $202.02	Professional		$33.04	$119.22	$202.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $43.16 / $50.94	Facility		$31.45	$43.16	$50.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $49.33 / $205.01	Professional		$33.58	$49.33	$205.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $56.73 / $56.73	Facility		$56.73	$56.73	$56.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $154.34 / $297.69	Professional		$40.70	$154.34	$297.69
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 $391.00 / $950.00 / $11,156.00	Facility		$391.00	$950.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.68 / $222.50 / $294.06	Professional		$156.68	$222.50	$294.06