Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $329.82 / $3,740.00	Facility		$90.50	$329.82	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $238.80 / $329.82	Professional		$97.37	$238.80	$329.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $188.52 / $277.04	Professional		$73.09	$188.52	$277.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $115.18 / $132.87	Facility		$83.92	$115.18	$132.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $121.89 / $430.64	Professional		$82.27	$121.89	$430.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $151.38 / $151.38	Facility		$151.38	$151.38	$151.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $277.70 / $498.40	Professional		$105.52	$277.70	$498.40
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.18 / $393.08 / $533.82	Professional		$264.18	$393.08	$533.82