Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $988.00 / $20,030.43	Facility		$97.22	$988.00	$20,030.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $112.33 / $252.88	Professional		$100.31	$112.33	$252.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $140.00 / $199.59	Professional		$119.00	$140.00	$199.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $144.83 / $177.01	Facility		$107.28	$144.83	$177.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $139.46 / $171.65	Professional		$107.28	$139.46	$171.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $131.69 / $131.69	Facility		$109.31	$131.69	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $154.50 / $251.95	Professional		$105.86	$154.50	$251.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $179.85 / $239.80	Professional		$172.93	$179.85	$239.80
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $144.76 / $234.16	Professional		$102.86	$144.76	$234.16