Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $200.44 / $3,740.00	Facility		$89.95	$200.44	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $156.94 / $235.08	Professional		$86.34	$156.94	$235.08
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 $87.25 / $131.94 / $215.09	Professional		$87.25	$131.94	$215.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $114.48 / $132.05	Facility		$83.98	$114.48	$132.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $118.57 / $227.29	Professional		$94.04	$118.57	$227.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $150.46 / $150.46	Facility		$134.04	$150.46	$150.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $171.82 / $338.66	Professional		$96.72	$171.82	$338.66
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $212.59 / $310.17	Professional		$144.90	$212.59	$310.17