Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.11 / $210.43 / $2,747.00	Facility		$111.11	$210.43	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $187.00 / $238.84	Professional		$112.29	$187.00	$238.84
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 $90.66 / $144.66 / $244.63	Professional		$90.66	$144.66	$244.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.61 / $152.03 / $175.37	Facility		$111.61	$152.03	$175.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $157.46 / $258.77	Professional		$124.88	$157.46	$258.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $199.81 / $199.81	Facility		$140.44	$199.81	$199.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $202.84 / $381.23	Professional		$124.35	$202.84	$381.23
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 $178.52 / $237.37 / $384.58	Professional		$178.52	$237.37	$384.58