Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $960.00 / $3,740.00	Facility		$90.39	$960.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $89.01 / $142.36	Professional		$79.54	$89.01	$142.36
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 $83.75 / $101.49 / $143.90	Professional		$83.75	$101.49	$143.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $120.99 / $139.57	Facility		$88.69	$120.99	$139.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $120.99 / $172.84	Professional		$99.38	$120.99	$172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $107.37 / $124.12	Facility		$107.37	$107.37	$124.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $125.52 / $214.48	Professional		$97.56	$125.52	$214.48
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 $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 $82.98 / $125.59 / $191.18	Professional		$82.98	$125.59	$191.18