Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $400.00 / $3,740.00	Facility		$84.73	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $173.69 / $287.77	Professional		$84.73	$173.69	$287.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $208.02 / $500.71	Professional		$72.70	$208.02	$500.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $114.14 / $131.66	Facility		$83.16	$114.14	$131.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $132.77 / $404.74	Professional		$81.53	$132.77	$404.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $150.02 / $150.02	Facility		$150.02	$150.02	$150.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $241.26 / $995.74	Professional		$105.01	$241.26	$995.74
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 $212.78 / $455.66 / $808.18	Professional		$212.78	$455.66	$808.18