Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $262.56 / $2,747.00	Facility		$110.34	$262.56	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $147.02 / $216.21	Professional		$93.89	$147.02	$216.21
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 $92.97 / $146.88 / $218.16	Professional		$92.97	$146.88	$218.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $124.58 / $145.44	Facility		$102.31	$124.58	$145.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $164.24 / $327.14	Professional		$91.23	$164.24	$327.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $184.57 / $184.57	Facility		$145.44	$184.57	$184.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $176.78 / $330.54	Professional		$116.65	$176.78	$330.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.64	Professional		$32.34	$32.34	$212.64
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $200.30 / $322.32	Professional		$157.97	$200.30	$322.32