Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $207.81 / $3,740.00	Facility		$133.36	$207.81	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $174.50 / $227.51	Professional		$130.15	$174.50	$227.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $119.37 / $191.28	Professional		$98.50	$119.37	$191.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $165.03 / $188.61	Facility		$117.65	$165.03	$188.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $170.93 / $265.23	Professional		$117.88	$170.93	$265.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $216.90 / $1,322.53	Facility		$121.00	$216.90	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $184.61 / $611.17	Professional		$123.15	$184.61	$611.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.70	Professional		$32.34	$32.34	$101.70
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $198.13 / $317.50	Professional		$154.13	$198.13	$317.50