Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $400.00 / $3,740.00	Facility		$62.07	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $127.90 / $197.20	Professional		$62.07	$127.90	$197.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $135.79 / $258.89	Professional		$56.03	$135.79	$258.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $57.71 / $67.38	Facility		$47.34	$57.71	$67.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $74.34 / $246.68	Professional		$46.47	$74.34	$246.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $81.31 / $135.12	Facility		$81.31	$81.31	$135.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $136.93 / $247.51	Professional		$54.51	$136.93	$247.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $160.34	Professional		$32.34	$32.34	$160.34
United Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $164.80 / $285.36	Professional		$131.97	$164.80	$285.36