Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $246.91 / $3,757.44	Facility		$110.62	$246.91	$3,757.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $137.96 / $196.45	Professional		$100.26	$137.96	$196.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $112.40 / $158.44	Professional		$83.30	$112.40	$158.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $134.94 / $157.56	Facility		$110.83	$134.94	$157.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $157.56 / $301.83	Professional		$98.83	$157.56	$301.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $199.93 / $199.93	Facility		$132.38	$199.93	$199.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $163.13 / $285.77	Professional		$117.33	$163.13	$285.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.20	Professional		$32.34	$32.34	$196.20
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $166.31 / $266.80	Professional		$123.19	$166.31	$266.80