Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $294.88 / $3,740.00	Facility		$86.63	$294.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $144.08 / $219.22	Professional		$76.28	$144.08	$219.22
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 $66.62 / $79.69 / $174.93	Professional		$66.62	$79.69	$174.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $121.21 / $139.82	Facility		$81.06	$121.21	$139.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $125.54 / $232.82	Professional		$95.58	$125.54	$232.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.02 / $159.31 / $159.31	Facility		$114.02	$159.31	$159.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $175.01 / $360.21	Professional		$92.49	$175.01	$360.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.06 / $182.93	Professional		$32.34	$55.06	$182.93
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 $163.90 / $238.02 / $317.58	Professional		$163.90	$238.02	$317.58