Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $193.01 / $3,740.00	Facility		$34.76	$193.01	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $75.09 / $191.94	Professional		$39.08	$75.09	$191.94
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 $57.42 / $68.34 / $145.93	Professional		$57.42	$68.34	$145.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $56.42 / $70.53	Facility		$39.01	$56.42	$70.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $58.69 / $122.13	Professional		$39.39	$58.69	$122.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $238.54	Facility		$74.15	$74.15	$238.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $139.40 / $256.95	Professional		$61.93	$139.40	$256.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $32.34 / $77.72	Professional		$27.28	$32.34	$77.72
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 $73.29 / $133.66 / $198.98	Professional		$73.29	$133.66	$198.98