Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $446.38 / $3,740.00	Facility		$91.01	$446.38	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $101.62 / $281.33	Professional		$91.01	$101.62	$281.33
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 $87.27 / $194.49 / $377.94	Professional		$87.27	$194.49	$377.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.14 / $120.97 / $142.77	Facility		$88.14	$120.97	$142.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $120.97 / $172.82	Professional		$93.95	$120.97	$172.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $101.92 / $101.92	Facility		$101.92	$101.92	$101.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $259.20 / $599.61	Professional		$104.59	$259.20	$599.61
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 $105.50 / $338.22 / $505.91	Professional		$105.50	$338.22	$505.91