Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.74 / $394.49 / $8,229.00	Facility		$90.74	$394.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $222.24 / $394.49	Professional		$90.42	$222.24	$394.49
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 $82.94 / $187.55 / $314.38	Professional		$82.94	$187.55	$314.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $123.77 / $142.79	Facility		$90.18	$123.77	$142.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $128.19 / $416.84	Professional		$97.69	$128.19	$416.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $162.66 / $162.66	Facility		$162.66	$162.66	$162.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $256.73 / $474.92	Professional		$100.39	$256.73	$474.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.81	Professional		$32.34	$32.34	$308.81
United Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,700.00 / $6,295.00	Facility		$502.00	$1,700.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $340.85 / $559.40	Professional		$254.64	$340.85	$559.40