Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $1,654.00 / $8,229.00	Facility		$110.64	$1,654.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $115.79 / $157.72	Professional		$107.72	$115.79	$157.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $118.08 / $172.89	Professional		$97.44	$118.08	$172.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $150.16 / $173.22	Facility		$110.27	$150.16	$173.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $150.16 / $214.52	Professional		$104.85	$150.16	$214.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.84 / $133.84 / $151.18	Facility		$133.84	$133.84	$151.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $147.41 / $249.81	Professional		$113.95	$147.41	$249.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $145.68 / $221.26	Professional		$111.25	$145.68	$221.26