Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $182.65 / $2,747.00	Facility		$76.09	$182.65	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $103.63 / $151.25	Professional		$68.73	$103.63	$151.25
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 $57.08 / $81.33 / $139.86	Professional		$57.08	$81.33	$139.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $103.46 / $116.49	Facility		$76.64	$103.46	$116.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $123.93 / $180.26	Professional		$95.80	$123.93	$180.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $141.02 / $1,111.00	Facility		$87.55	$141.02	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $106.96 / $219.70	Professional		$69.27	$106.96	$219.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
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 $94.37 / $122.68 / $198.52	Professional		$94.37	$122.68	$198.52