Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $119.19 / $3,740.00	Facility		$58.32	$119.19	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $97.92 / $141.38	Professional		$52.75	$97.92	$141.38
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 $70.09 / $86.85 / $128.00	Professional		$70.09	$86.85	$128.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $70.09 / $81.84	Facility		$57.33	$70.09	$81.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $91.73 / $216.70	Professional		$61.34	$91.73	$216.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.16 / $103.85 / $1,111.00	Facility		$102.16	$103.85	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $117.16 / $234.43	Professional		$65.83	$117.16	$234.43
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 $103.63 / $130.97 / $215.41	Professional		$103.63	$130.97	$215.41