Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $214.84 / $3,740.00	Facility		$108.81	$214.84	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $175.09 / $210.06	Professional		$108.81	$175.09	$210.06
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 $111.63 / $158.15 / $232.56	Professional		$111.63	$158.15	$232.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $147.43 / $167.80	Facility		$137.54	$147.43	$167.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.61 / $273.43 / $439.45	Professional		$224.61	$273.43	$439.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $220.54 / $220.54	Facility		$107.68	$220.54	$220.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $192.29 / $347.94	Professional		$124.05	$192.29	$347.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.90	Professional		$32.34	$32.34	$253.90
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 $169.54 / $221.99 / $340.68	Professional		$169.54	$221.99	$340.68