Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $141.09 / $5,320.00	Facility		$76.54	$141.09	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $92.49 / $119.78	Professional		$69.65	$92.49	$119.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $95.52 / $141.78	Professional		$72.91	$95.52	$141.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $102.89 / $118.69	Facility		$75.14	$102.89	$118.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $108.99 / $165.35	Professional		$87.45	$108.99	$165.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $135.22 / $135.22	Facility		$94.33	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $120.91 / $209.12	Professional		$84.72	$120.91	$209.12
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $135.55 / $210.57	Professional		$91.52	$135.55	$210.57