Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $179.06 / $3,740.00	Facility		$89.61	$179.06	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $130.46 / $179.06	Professional		$91.28	$130.46	$179.06
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 $76.66 / $114.26 / $150.49	Professional		$76.66	$114.26	$150.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $114.04 / $131.56	Facility		$83.09	$114.04	$131.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $121.49 / $183.29	Professional		$93.68	$121.49	$183.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $149.88 / $149.88	Facility		$149.88	$149.88	$149.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $163.62 / $288.89	Professional		$103.23	$163.62	$288.89
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 $149.36 / $212.06 / $295.27	Professional		$149.36	$212.06	$295.27