Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $159.62 / $3,740.00	Facility		$80.02	$159.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $118.84 / $172.37	Professional		$69.73	$118.84	$172.37
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 $49.83 / $84.10 / $134.13	Professional		$49.83	$84.10	$134.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $105.53 / $123.21	Facility		$86.66	$105.53	$123.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $123.21 / $290.22	Professional		$93.10	$123.21	$290.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $156.34 / $156.34	Facility		$76.31	$156.34	$156.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $126.01 / $271.47	Professional		$70.03	$126.01	$271.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.64	Professional		$32.34	$32.34	$188.64
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $142.44 / $275.95	Professional		$99.08	$142.44	$275.95