Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $176.91 / $8,229.00	Facility		$100.27	$176.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $138.51 / $176.91	Professional		$100.27	$138.51	$176.91
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 $91.33 / $130.38 / $198.98	Professional		$91.33	$130.38	$198.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.71 / $136.85 / $157.87	Facility		$99.71	$136.85	$157.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $141.74 / $219.94	Professional		$109.48	$141.74	$219.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $179.86 / $179.86	Facility		$179.86	$179.86	$179.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $162.47 / $288.89	Professional		$109.18	$162.47	$288.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.97	Professional		$32.34	$32.34	$144.97
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $185.93 / $305.57	Professional		$139.27	$185.93	$305.57