Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $787.00 / $8,229.00	Facility		$44.95	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $49.89 / $86.66	Professional		$44.95	$49.89	$86.66
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 $64.18 / $79.55 / $135.68	Professional		$64.18	$79.55	$135.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $72.34 / $83.45	Facility		$52.99	$72.34	$83.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $72.34 / $103.34	Professional		$57.95	$72.34	$103.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.46 / $63.46 / $116.24	Facility		$63.46	$63.46	$116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $102.43 / $196.68	Professional		$58.29	$102.43	$196.68
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $93.53 / $116.85	Professional		$64.95	$93.53	$116.85