Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $270.97 / $3,740.00	Facility		$101.11	$270.97	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $225.46 / $271.57	Professional		$101.11	$225.46	$271.57
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 $84.99 / $193.34 / $334.65	Professional		$84.99	$193.34	$334.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $135.59 / $156.41	Facility		$98.78	$135.59	$156.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $140.43 / $379.36	Professional		$106.54	$140.43	$379.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $178.20 / $178.20	Facility		$138.13	$178.20	$178.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $268.58 / $509.89	Professional		$116.51	$268.58	$509.89
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 $254.66 / $372.84 / $503.18	Professional		$254.66	$372.84	$503.18