Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.54 / $149.10 / $3,740.00	Facility		$62.54	$149.10	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $88.41 / $134.02	Professional		$56.91	$88.41	$134.02
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 $52.79 / $69.81 / $121.70	Professional		$52.79	$69.81	$121.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $85.25 / $98.34	Facility		$62.30	$85.25	$98.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $90.86 / $143.13	Professional		$72.45	$90.86	$143.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $112.04 / $116.78	Facility		$112.04	$112.04	$116.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $105.17 / $179.44	Professional		$69.72	$105.17	$179.44
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 $88.33 / $126.13 / $179.44	Professional		$88.33	$126.13	$179.44