Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $211.68 / $3,740.00	Facility		$80.54	$211.68	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $134.85 / $181.94	Professional		$88.98	$134.85	$181.94
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 $82.24 / $99.89 / $122.34	Professional		$82.24	$99.89	$122.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.25 / $127.99 / $151.04	Facility		$93.25	$127.99	$151.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $132.37 / $209.38	Professional		$91.42	$132.37	$209.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Facility		$168.21	$168.21	$168.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $191.30 / $313.02	Professional		$116.16	$191.30	$313.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.42 / $156.72	Professional		$32.34	$64.42	$156.72
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 $156.05 / $221.10 / $307.22	Professional		$156.05	$221.10	$307.22