Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.90 / $154.71 / $3,740.00	Facility		$56.90	$154.71	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $103.70 / $138.76	Professional		$52.29	$103.70	$138.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $87.61 / $152.61	Professional		$46.47	$87.61	$152.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $78.37 / $90.40	Facility		$57.10	$78.37	$90.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $89.57 / $222.60	Professional		$66.62	$89.57	$222.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $103.00 / $103.00	Facility		$80.39	$103.00	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $119.42 / $240.28	Professional		$63.09	$119.42	$240.28
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $147.49 / $243.36	Professional		$104.34	$147.49	$243.36