Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $152.38 / $3,740.00	Facility		$76.56	$152.38	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $95.43 / $172.76	Professional		$64.92	$95.43	$172.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $87.99 / $120.81	Professional		$74.79	$87.99	$120.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $103.99 / $119.97	Facility		$76.59	$103.99	$119.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $107.71 / $167.13	Professional		$88.39	$107.71	$167.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $136.68 / $150.15	Facility		$136.68	$136.68	$150.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $138.66 / $242.27	Professional		$83.45	$138.66	$242.27
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 $109.66 / $155.68 / $227.15	Professional		$109.66	$155.68	$227.15