Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $279.98 / $3,740.00	Facility		$81.00	$279.98	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $131.24 / $179.20	Professional		$78.63	$131.24	$179.20
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 $74.69 / $99.29 / $180.27	Professional		$74.69	$99.29	$180.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $103.10 / $118.92	Facility		$75.23	$103.10	$118.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $106.78 / $174.29	Professional		$80.51	$106.78	$174.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $135.50 / $235.75	Facility		$135.50	$135.50	$235.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $162.40 / $294.38	Professional		$96.14	$162.40	$294.38
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 $129.26 / $199.37 / $254.84	Professional		$129.26	$199.37	$254.84