Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $332.37 / $3,740.00	Facility		$101.93	$332.37	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $221.55 / $332.49	Professional		$101.93	$221.55	$332.49
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 $89.28 / $108.19 / $261.70	Professional		$89.28	$108.19	$261.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $138.25 / $159.49	Facility		$101.09	$138.25	$159.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $158.00 / $444.25	Professional		$117.51	$158.00	$444.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $181.70 / $181.70	Facility		$130.01	$181.70	$181.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $240.76 / $497.38	Professional		$111.68	$240.76	$497.38
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.82 / $288.77 / $586.45	Professional		$230.82	$288.77	$586.45