Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $256.98 / $3,740.00	Facility		$85.94	$256.98	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $127.68 / $189.58	Professional		$83.50	$127.68	$189.58
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 $61.64 / $85.83 / $118.55	Professional		$61.64	$85.83	$118.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $109.38 / $126.18	Facility		$80.20	$109.38	$126.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $115.59 / $177.12	Professional		$89.85	$115.59	$177.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $143.76 / $143.76	Facility		$143.76	$143.76	$143.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $157.41 / $267.47	Professional		$104.67	$157.41	$267.47
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $196.25 / $260.36	Professional		$128.11	$196.25	$260.36