Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $388.78 / $3,740.00	Facility		$86.35	$388.78	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $179.85 / $251.24	Professional		$92.48	$179.85	$251.24
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 $112.97 / $209.07 / $321.56	Professional		$112.97	$209.07	$321.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $109.90 / $129.69	Facility		$80.08	$109.90	$129.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $125.60 / $280.58	Professional		$90.28	$125.60	$280.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $144.44 / $144.44	Facility		$144.44	$144.44	$144.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $252.98 / $503.94	Professional		$111.29	$252.98	$503.94
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 / $11,156.00	Facility		$391.00	$950.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.19 / $348.32 / $459.74	Professional		$213.19	$348.32	$459.74