Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $787.00 / $8,229.00	Facility		$75.51	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $77.81 / $101.85	Professional		$75.51	$77.81	$101.85
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 $72.58 / $86.24 / $138.60	Professional		$72.58	$86.24	$138.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $100.23 / $115.62	Facility		$73.22	$100.23	$115.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $100.23 / $143.18	Professional		$69.98	$100.23	$143.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $87.41 / $107.45	Facility		$87.41	$87.41	$107.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $108.66 / $169.77	Professional		$74.27	$108.66	$169.77
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $108.71 / $154.01	Professional		$75.47	$108.71	$154.01