Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $691.58 / $3,740.00	Facility		$71.19	$691.58	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $201.26 / $726.74	Professional		$68.48	$201.26	$726.74
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 $58.20 / $149.24 / $643.65	Professional		$58.20	$149.24	$643.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $90.61 / $104.52	Facility		$65.83	$90.61	$104.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $93.50 / $730.69	Professional		$71.52	$93.50	$730.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $119.08 / $119.08	Facility		$119.08	$119.08	$119.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $322.75 / $983.59	Professional		$75.70	$322.75	$983.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $527.09	Professional		$32.34	$32.34	$527.09
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 $495.74 / $693.42 / $1,067.22	Professional		$495.74	$693.42	$1,067.22