Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $787.00 / $8,229.00	Facility		$121.95	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $139.72 / $180.28	Professional		$119.83	$139.72	$180.28
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 $106.33 / $128.85 / $204.70	Professional		$106.33	$128.85	$204.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.87 / $156.07 / $186.71	Facility		$108.87	$156.07	$186.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $156.07 / $231.22	Professional		$115.61	$156.07	$231.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $147.44	Facility		$142.06	$142.06	$147.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $169.43 / $256.89	Professional		$119.73	$169.43	$256.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $150.29	Professional		$32.34	$32.34	$150.29
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $399.00 / $3,176.00	Facility		$59.00	$399.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $166.13 / $265.62	Professional		$114.60	$166.13	$265.62