Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $400.00 / $3,740.00	Facility		$70.34	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $141.47 / $197.62	Professional		$68.69	$141.47	$197.62
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 $56.42 / $133.94 / $259.44	Professional		$56.42	$133.94	$259.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $65.45 / $76.42	Facility		$53.76	$65.45	$76.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $76.42 / $263.70	Professional		$51.51	$76.42	$263.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $92.23 / $138.37	Facility		$92.23	$92.23	$138.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $145.34 / $269.73	Professional		$61.88	$145.34	$269.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.41	Professional		$32.34	$32.34	$171.41
United Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $175.23 / $279.86	Professional		$130.18	$175.23	$279.86