Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $416.00 / $3,740.00	Facility		$43.46	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $82.83 / $145.51	Professional		$36.76	$82.83	$145.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $74.06 / $135.41	Professional		$40.43	$74.06	$135.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $55.31 / $63.80	Facility		$45.33	$55.31	$63.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $63.22 / $128.02	Professional		$47.02	$63.22	$128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $88.70	Facility		$72.70	$72.70	$88.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $103.70 / $198.01	Professional		$44.35	$103.70	$198.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $127.08 / $193.21	Professional		$91.54	$127.08	$193.21