Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $400.00 / $3,740.00	Facility		$66.73	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $134.55 / $179.36	Professional		$64.06	$134.55	$179.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,018.00 / $12,101.00	Facility		$3,104.00	$5,018.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $138.60 / $222.12	Professional		$68.47	$138.60	$222.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $89.50 / $103.25	Facility		$65.20	$89.50	$103.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $102.29 / $283.88	Professional		$76.08	$102.29	$283.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $117.63 / $117.63	Facility		$82.99	$117.63	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $172.97 / $322.75	Professional		$83.23	$172.97	$322.75
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 $153.25 / $212.99 / $276.33	Professional		$153.25	$212.99	$276.33