Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $182.17 / $229.83	Facility		$113.45	$182.17	$229.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $182.17 / $229.79	Professional		$115.55	$182.17	$229.79
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 $103.84 / $129.19 / $180.08	Professional		$103.84	$129.19	$180.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.26 / $178.53 / $205.94	Facility		$124.26	$178.53	$205.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $179.80 / $292.52	Professional		$140.46	$179.80	$292.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $234.64 / $234.64	Facility		$186.07	$234.64	$234.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $230.08 / $394.83	Professional		$144.91	$230.08	$394.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $271.62	Professional		$32.34	$32.34	$271.62
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 $180.39 / $252.72 / $381.50	Professional		$180.39	$252.72	$381.50