Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $196.72 / $3,740.00	Facility		$77.06	$196.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $118.13 / $196.72	Professional		$70.70	$118.13	$196.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,961.00	Facility		$1,041.00	$2,067.00	$2,961.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $85.99 / $103.17	Professional		$72.47	$85.99	$103.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $98.19 / $120.00	Facility		$72.73	$98.19	$120.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $142.09 / $182.35	Professional		$94.55	$142.09	$182.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $167.54 / $289.45	Professional		$99.09	$167.54	$289.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.45 / $130.25	Professional		$32.34	$55.45	$130.25
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 $143.24 / $201.58 / $284.98	Professional		$143.24	$201.58	$284.98