Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $102.15 / $3,740.00	Facility		$54.51	$102.15	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $64.86 / $102.15	Professional		$54.51	$64.86	$102.15
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 $53.77 / $70.52 / $99.66	Professional		$53.77	$70.52	$99.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $74.40 / $85.82	Facility		$54.20	$74.40	$85.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $74.93 / $119.57	Professional		$61.11	$74.93	$119.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.29 / $97.78 / $97.78	Facility		$62.29	$97.78	$97.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $95.64 / $144.85	Professional		$64.08	$95.64	$144.85
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $100.84 / $141.28	Professional		$66.64	$100.84	$141.28