Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $400.00 / $8,229.00	Facility		$50.40	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $115.60 / $180.93	Professional		$50.40	$115.60	$180.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $102.09 / $161.43	Professional		$48.57	$102.09	$161.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $66.26 / $76.44	Facility		$48.28	$66.26	$76.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $68.63 / $203.51	Professional		$54.43	$68.63	$203.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $87.09 / $87.09	Facility		$87.09	$87.09	$87.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $139.19 / $237.00	Professional		$60.04	$139.19	$237.00
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 $121.61 / $173.72 / $262.31	Professional		$121.61	$173.72	$262.31