Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $151.06 / $3,740.00	Facility		$75.79	$151.06	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $142.00 / $177.72	Professional		$75.83	$142.00	$177.72
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 $74.70 / $115.82 / $180.72	Professional		$74.70	$115.82	$180.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $98.62 / $113.75	Facility		$71.84	$98.62	$113.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $102.14 / $202.85	Professional		$77.48	$102.14	$202.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.21 / $129.61 / $129.61	Facility		$125.21	$129.61	$129.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $148.99 / $277.85	Professional		$89.54	$148.99	$277.85
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 $133.61 / $189.39 / $261.14	Professional		$133.61	$189.39	$261.14