Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.86 / $860.00 / $8,229.00	Facility		$98.86	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $102.61 / $126.26	Professional		$93.84	$102.61	$126.26
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 $74.54 / $90.33 / $144.06	Professional		$74.54	$90.33	$144.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $134.60 / $155.27	Facility		$98.06	$134.60	$155.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $134.60 / $192.28	Professional		$96.14	$134.60	$192.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $117.31	Facility		$117.31	$117.31	$117.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $128.37 / $203.60	Professional		$86.68	$128.37	$203.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $112.52	Professional		$32.34	$32.34	$112.52
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $125.49 / $208.46	Professional		$89.19	$125.49	$208.46