Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $387.27 / $3,740.00	Facility		$97.50	$387.27	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $168.53 / $226.99	Professional		$94.78	$168.53	$226.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $8,584.00 / $11,253.00	Facility		$128.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $86.11 / $152.28	Professional		$71.06	$86.11	$152.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $121.30 / $138.62	Facility		$86.06	$121.30	$138.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $125.63 / $229.60	Professional		$95.30	$125.63	$229.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $159.41 / $336.03	Facility		$133.87	$159.41	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $166.76 / $445.90	Professional		$92.18	$166.76	$445.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.35	Professional		$32.34	$32.34	$54.35
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 $145.26 / $185.76 / $291.35	Professional		$145.26	$185.76	$291.35