Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $192.50 / $3,740.00	Facility		$101.47	$192.50	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $157.43 / $192.97	Professional		$101.47	$157.43	$192.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $128.60 / $194.01	Professional		$81.86	$128.60	$194.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $139.49 / $162.85	Facility		$114.55	$139.49	$162.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $162.85 / $350.00	Professional		$123.27	$162.85	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $206.65 / $1,111.00	Facility		$128.86	$206.65	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $163.21 / $301.52	Professional		$101.08	$163.21	$301.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $227.50	Professional		$32.34	$32.34	$227.50
United Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $1,196.72 / $2,525.00	Facility		$413.00	$1,196.72	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $188.10 / $313.49	Professional		$144.69	$188.10	$313.49