Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $163.28 / $3,740.00	Facility		$87.30	$163.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $135.97 / $183.66	Professional		$90.66	$135.97	$183.66
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 $81.51 / $110.67 / $168.20	Professional		$81.51	$110.67	$168.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $120.24 / $140.37	Facility		$98.75	$120.24	$140.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $145.10 / $296.88	Professional		$96.81	$145.10	$296.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $178.13 / $178.13	Facility		$107.21	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $143.99 / $247.90	Professional		$98.46	$143.99	$247.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.97	Professional		$32.34	$32.34	$192.97
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 $124.84 / $164.05 / $260.08	Professional		$124.84	$164.05	$260.08