Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $264.92 / $3,740.00	Facility		$76.34	$264.92	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $128.75 / $219.76	Professional		$64.72	$128.75	$219.76
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 $53.84 / $98.31 / $164.18	Professional		$53.84	$98.31	$164.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $97.16 / $114.51	Facility		$69.40	$97.16	$114.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $153.21 / $193.18	Professional		$90.22	$153.21	$193.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $127.70 / $131.63	Facility		$127.70	$127.70	$131.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $140.32 / $259.11	Professional		$78.25	$140.32	$259.11
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 $124.15 / $185.91 / $259.11	Professional		$124.15	$185.91	$259.11