Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $787.00 / $8,229.00	Facility		$64.34	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $70.72 / $85.70	Professional		$64.34	$70.72	$85.70
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 $88.48 / $106.61 / $152.12	Professional		$88.48	$106.61	$152.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $104.37 / $120.40	Facility		$76.04	$104.37	$120.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $104.37 / $149.10	Professional		$84.59	$104.37	$149.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $90.64 / $170.39	Facility		$90.64	$90.64	$170.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $134.34 / $214.27	Professional		$83.55	$134.34	$214.27
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 $94.50 / $133.83 / $175.30	Professional		$94.50	$133.83	$175.30