Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $787.00 / $3,740.00	Facility		$110.42	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $124.28 / $167.78	Professional		$107.15	$124.28	$167.78
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 $94.86 / $111.61 / $142.32	Professional		$94.86	$111.61	$142.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $169.05 / $195.02	Facility		$118.64	$169.05	$195.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $169.05 / $241.50	Professional		$120.75	$169.05	$241.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $150.62 / $150.62	Facility		$150.62	$150.62	$150.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $169.23 / $238.77	Professional		$122.16	$169.23	$238.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.97	Professional		$32.34	$32.34	$156.97
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $163.60 / $244.34	Professional		$121.07	$163.60	$244.34