Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $239.63 / $8,229.00	Facility		$64.31	$239.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $129.38 / $172.27	Professional		$61.75	$129.38	$172.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $125.73 / $219.64	Professional		$53.65	$125.73	$219.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $86.67 / $99.98	Facility		$63.14	$86.67	$99.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $99.06 / $272.52	Professional		$73.67	$99.06	$272.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $113.91 / $113.91	Facility		$65.31	$113.91	$113.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $167.80 / $311.91	Professional		$69.61	$167.80	$311.91
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 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $199.57 / $308.05	Professional		$150.91	$199.57	$308.05