Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $279.19 / $2,747.00	Facility		$105.14	$279.19	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $153.60 / $255.81	Professional		$85.83	$153.60	$255.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $118.24 / $163.21	Professional		$71.73	$118.24	$163.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $118.71 / $138.59	Facility		$97.49	$118.71	$138.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $138.59 / $428.32	Professional		$86.93	$138.59	$428.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $175.87 / $175.87	Facility		$139.22	$175.87	$175.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $172.77 / $340.19	Professional		$98.88	$172.77	$340.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $278.41	Professional		$32.34	$32.34	$278.41
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $186.51 / $329.07	Professional		$139.00	$186.51	$329.07