Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $176.79 / $3,740.00	Facility		$98.06	$176.79	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $147.27 / $195.89	Professional		$99.59	$147.27	$195.89
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 $94.10 / $120.61 / $190.68	Professional		$94.10	$120.61	$190.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $135.13 / $157.77	Facility		$110.99	$135.13	$157.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $157.10 / $321.44	Professional		$106.36	$157.10	$321.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.51 / $200.21 / $200.21	Facility		$119.51	$200.21	$200.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $160.82 / $268.24	Professional		$110.82	$160.82	$268.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.94	Professional		$32.34	$32.34	$208.94
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 $136.01 / $176.81 / $279.49	Professional		$136.01	$176.81	$279.49