Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $787.00 / $8,229.00	Facility		$70.70	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $74.03 / $90.19	Professional		$70.70	$74.03	$90.19
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 $64.51 / $78.18 / $122.97	Professional		$64.51	$78.18	$122.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.41 / $96.52 / $111.34	Facility		$70.41	$96.52	$111.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $96.52 / $137.88	Professional		$79.28	$96.52	$137.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $84.43 / $84.43	Facility		$68.56	$84.43	$84.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $110.78 / $256.83	Professional		$71.64	$110.78	$256.83
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 $71.16 / $102.32 / $144.90	Professional		$71.16	$102.32	$144.90