Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $243.78 / $8,229.00	Facility		$80.91	$243.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $140.05 / $243.78	Professional		$80.53	$140.05	$243.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $114.88 / $201.63	Professional		$61.78	$114.88	$201.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $109.47 / $126.27	Facility		$79.75	$109.47	$126.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $115.51 / $257.35	Professional		$78.19	$115.51	$257.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $143.87	Facility		$143.87	$143.87	$143.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $159.57 / $342.45	Professional		$83.04	$159.57	$342.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.91	Professional		$32.34	$32.34	$194.91
United Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $1,339.00 / $5,484.78	Facility		$439.00	$1,339.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $206.72 / $350.39	Professional		$145.28	$206.72	$350.39