Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $281.42 / $3,740.00	Facility		$84.38	$281.42	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $185.53 / $276.30	Professional		$87.70	$185.53	$276.30
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 $80.25 / $95.91 / $124.80	Professional		$80.25	$95.91	$124.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $137.61 / $162.38	Facility		$96.57	$137.61	$162.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $140.91 / $395.41	Professional		$107.28	$140.91	$395.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $180.85	Facility		$180.85	$180.85	$180.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $247.11 / $435.06	Professional		$111.31	$247.11	$435.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.84 / $255.40	Professional		$32.34	$61.84	$255.40
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 $229.64 / $308.45 / $451.61	Professional		$229.64	$308.45	$451.61