Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $400.00 / $3,740.00	Facility		$102.75	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $154.28 / $181.33	Professional		$90.42	$154.28	$181.33
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 $94.37 / $133.51 / $196.80	Professional		$94.37	$133.51	$196.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $128.33 / $146.06	Facility		$119.72	$128.33	$146.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $255.04 / $398.77	Professional		$203.81	$255.04	$398.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $191.97 / $191.97	Facility		$134.04	$191.97	$191.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $168.35 / $299.16	Professional		$106.50	$168.35	$299.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.40	Professional		$32.34	$32.34	$230.40
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 $147.08 / $192.36 / $296.51	Professional		$147.08	$192.36	$296.51