Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $142.79 / $3,740.00	Facility		$53.74	$142.79	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $122.46 / $157.44	Professional		$49.02	$122.46	$157.44
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 $40.28 / $94.63 / $141.31	Professional		$40.28	$94.63	$141.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.15 / $64.72 / $75.56	Facility		$53.15	$64.72	$75.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $83.38 / $198.39	Professional		$50.94	$83.38	$198.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $95.88	Facility		$95.88	$95.88	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $140.62 / $261.63	Professional		$54.05	$140.62	$261.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.69	Professional		$32.34	$32.34	$174.69
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 $125.28 / $166.01 / $238.47	Professional		$125.28	$166.01	$238.47