Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $787.00 / $8,229.00	Facility		$95.37	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $110.44 / $155.99	Professional		$95.45	$110.44	$155.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $105.40 / $129.13	Professional		$88.25	$105.40	$129.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $120.89 / $144.63	Facility		$88.20	$120.89	$144.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $125.37 / $179.10	Professional		$87.54	$125.37	$179.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $140.93 / $209.42	Professional		$93.99	$140.93	$209.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.42	Professional		$32.34	$32.34	$116.42
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $3,176.00	Facility		$59.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $144.24 / $213.76	Professional		$93.53	$144.24	$213.76