Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $400.00 / $8,229.00	Facility		$76.95	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $181.81 / $327.26	Professional		$76.95	$181.81	$327.26
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 $59.05 / $124.42 / $270.70	Professional		$59.05	$124.42	$270.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $103.61 / $119.53	Facility		$75.48	$103.61	$119.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $107.31 / $347.20	Professional		$81.78	$107.31	$347.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $210.34 / $401.00	Professional		$81.91	$210.34	$401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.08	Professional		$32.34	$32.34	$257.08
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $263.45 / $463.94	Professional		$207.56	$263.45	$463.94