Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $400.00 / $3,740.00	Facility		$74.15	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $100.88 / $111.25	Professional		$71.18	$100.88	$111.25
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 $70.39 / $84.91 / $141.22	Professional		$70.39	$84.91	$141.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.92 / $98.70 / $113.87	Facility		$71.92	$98.70	$113.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $102.23 / $158.63	Professional		$83.90	$102.23	$158.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $174.84	Facility		$129.72	$129.72	$174.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $136.71 / $212.05	Professional		$83.77	$136.71	$212.05
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 $99.30 / $149.16 / $224.93	Professional		$99.30	$149.16	$224.93