Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $215.88 / $3,740.00	Facility		$75.28	$215.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $176.21 / $241.24	Professional		$79.65	$176.21	$241.24
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 $66.38 / $80.44 / $184.04	Professional		$66.38	$80.44	$184.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $121.86 / $143.79	Facility		$85.80	$121.86	$143.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $124.37 / $302.23	Professional		$95.09	$124.37	$302.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $160.15 / $160.15	Facility		$112.37	$160.15	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $205.41 / $381.10	Professional		$102.62	$205.41	$381.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $255.13	Professional		$32.34	$32.34	$255.13
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 $188.32 / $260.95 / $356.96	Professional		$188.32	$260.95	$356.96