Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $482.79 / $3,740.00	Facility		$54.29	$482.79	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $269.20 / $482.79	Professional		$52.91	$269.20	$482.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $97.47 / $456.23	Professional		$51.53	$97.47	$456.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $69.09 / $79.70	Facility		$50.34	$69.09	$79.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $78.95 / $678.54	Professional		$58.73	$78.95	$678.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Facility		$90.80	$90.80	$90.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $338.97 / $674.31	Professional		$61.13	$338.97	$674.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.41 / $513.03 / $702.92	Professional		$337.41	$513.03	$702.92