Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $147.90 / $8,229.00	Facility		$95.26	$147.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $121.38 / $167.12	Professional		$86.56	$121.38	$167.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $98.57 / $156.87	Professional		$72.48	$98.57	$156.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $120.23 / $140.36	Facility		$98.74	$120.23	$140.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $136.62 / $217.80	Professional		$88.04	$136.62	$217.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $178.11 / $1,111.00	Facility		$115.12	$178.11	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $130.40 / $240.96	Professional		$89.08	$130.40	$240.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.09	Professional		$32.34	$32.34	$163.09
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $138.97 / $269.06	Professional		$108.59	$138.97	$269.06