Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $596.07 / $8,229.00	Facility		$63.02	$596.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $186.70 / $761.32	Professional		$63.02	$186.70	$761.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $117.40 / $636.73	Professional		$57.23	$117.40	$636.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $84.63 / $97.62	Facility		$61.66	$84.63	$97.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $87.65 / $812.01	Professional		$66.50	$87.65	$812.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $111.23 / $111.23	Facility		$111.23	$111.23	$111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $405.34 / $1,045.34	Professional		$69.54	$405.34	$1,045.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $576.07	Professional		$32.34	$32.34	$576.07
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.65 / $682.47 / $1,188.08	Professional		$489.65	$682.47	$1,188.08