Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $794.33 / $3,890.45	Facility		$64.57	$794.33	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $181.97	Professional		$51.29	$93.33	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $134.90	Professional		$50.12	$85.11	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $77.62	Facility		$44.67	$54.95	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $77.62	Professional		$46.77	$60.26	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $89.13	Facility		$34.67	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $758.58	Professional		$57.54	$109.65	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $3,388.44	Facility		$331.13	$794.33	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $162.18	Professional		$52.48	$93.33	$162.18