Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $787.00 / $3,740.00	Facility		$103.62	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $120.05 / $448.80	Professional		$106.59	$120.05	$448.80
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 $178.50 / $210.00 / $299.38	Professional		$178.50	$210.00	$299.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $154.25 / $188.53	Facility		$114.26	$154.25	$188.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $148.54 / $182.82	Professional		$114.26	$148.54	$182.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $140.24 / $140.24	Facility		$113.57	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $176.43 / $450.00	Professional		$112.72	$176.43	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.28 / $273.81 / $365.09	Professional		$263.28	$273.81	$365.09
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $153.12 / $249.62	Professional		$111.66	$153.12	$249.62