Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $158.66 / $312.75	Facility		$95.07	$158.66	$312.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $125.92 / $184.36	Professional		$101.06	$125.92	$184.36
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 $77.89 / $94.33 / $146.13	Professional		$77.89	$94.33	$146.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $145.38 / $167.69	Facility		$101.99	$145.38	$167.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $146.41 / $233.64	Professional		$113.24	$146.41	$233.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $191.07 / $191.07	Facility		$154.94	$191.07	$191.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $173.10 / $269.23	Professional		$119.19	$173.10	$269.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.34 / $152.00	Professional		$28.18	$32.34	$152.00
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 $133.76 / $185.51 / $281.11	Professional		$133.76	$185.51	$281.11