Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $557.00 / $4,272.84	Facility		$85.03	$557.00	$4,272.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $298.77 / $448.16	Professional		$71.90	$298.77	$448.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $297.20 / $496.39	Professional		$67.76	$297.20	$496.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $108.22 / $127.55	Facility		$77.30	$108.22	$127.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $353.80 / $448.61	Professional		$100.49	$353.80	$448.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $142.22 / $142.22	Facility		$142.22	$142.22	$142.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $386.66 / $837.29	Professional		$92.74	$386.66	$837.29
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 $378.03 / $594.03 / $825.38	Professional		$378.03	$594.03	$825.38