Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $163.22 / $614.84	Facility		$80.31	$163.22	$614.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $142.91 / $489.30	Professional		$113.09	$142.91	$489.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $112.90 / $198.15	Professional		$84.67	$112.90	$198.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $133.13 / $187.77	Facility		$41.58	$133.13	$187.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $57.97 / $195.78	Professional		$41.66	$57.97	$195.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $439.62	Facility		$175.22	$175.22	$439.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $146.38 / $299.68	Professional		$85.03	$146.38	$299.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.50	Professional		$32.34	$32.34	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $133.34 / $218.19	Professional		$82.00	$133.34	$218.19