Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $197.62 / $5,320.00	Facility		$104.19	$197.62	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $165.11 / $245.30	Professional		$104.89	$165.11	$245.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $133.51 / $210.47	Professional		$93.76	$133.51	$210.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $143.50 / $167.53	Facility		$117.85	$143.50	$167.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $167.53 / $359.30	Professional		$112.94	$167.53	$359.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $212.59 / $1,111.00	Facility		$137.19	$212.59	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $167.54 / $308.05	Professional		$106.07	$167.54	$308.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.55	Professional		$32.34	$32.34	$233.55
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 $150.97 / $195.16 / $320.70	Professional		$150.97	$195.16	$320.70