Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $182.81 / $2,747.00	Facility		$80.16	$182.81	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $103.67 / $197.95	Professional		$75.34	$103.67	$197.95
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 $65.63 / $83.68 / $153.90	Professional		$65.63	$83.68	$153.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $102.02 / $117.69	Facility		$72.56	$102.02	$117.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $102.75 / $163.96	Professional		$80.16	$102.75	$163.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $134.08 / $134.08	Facility		$133.85	$134.08	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $136.97 / $244.54	Professional		$92.72	$136.97	$244.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.02	Professional		$32.34	$32.34	$122.02
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 $97.39 / $137.77 / $204.77	Professional		$97.39	$137.77	$204.77