Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $370.98 / $3,740.00	Facility		$99.43	$370.98	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $203.18 / $306.47	Professional		$91.28	$203.18	$306.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $82.20 / $164.27	Professional		$66.98	$82.20	$164.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.32 / $122.05 / $139.49	Facility		$87.32	$122.05	$139.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $126.41 / $308.45	Professional		$100.04	$126.41	$308.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $321.89	Facility		$160.41	$160.41	$321.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $216.14 / $455.25	Professional		$90.02	$216.14	$455.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.47	Professional		$32.34	$32.34	$43.47
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 $190.23 / $241.08 / $403.22	Professional		$190.23	$241.08	$403.22