Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $325.61 / $3,740.00	Facility		$97.49	$325.61	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $153.50 / $231.50	Professional		$89.49	$153.50	$231.50
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 $74.66 / $90.48 / $430.10	Professional		$74.66	$90.48	$430.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $121.31 / $138.63	Facility		$85.95	$121.31	$138.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $138.63 / $232.36	Professional		$99.43	$138.63	$232.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $159.44 / $540.16	Facility		$159.44	$159.44	$540.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $170.28 / $445.90	Professional		$87.49	$170.28	$445.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.91	Professional		$32.34	$32.34	$88.91
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 $144.65 / $192.99 / $325.14	Professional		$144.65	$192.99	$325.14