Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $173.85 / $8,229.00	Facility		$106.63	$173.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $165.87 / $222.05	Professional		$106.63	$165.87	$222.05
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 $103.44 / $152.83 / $234.42	Professional		$103.44	$152.83	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $150.09 / $173.15	Facility		$110.20	$150.09	$173.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $155.44 / $266.89	Professional		$117.93	$155.44	$266.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.54 / $197.27 / $197.27	Facility		$167.54	$197.27	$197.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $202.95 / $396.91	Professional		$121.22	$202.95	$396.91
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $248.56 / $375.48	Professional		$168.64	$248.56	$375.48