Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $223.86 / $8,229.00	Facility		$102.36	$223.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $171.29 / $260.79	Professional		$102.36	$171.29	$260.79
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 $91.54 / $135.57 / $219.37	Professional		$91.54	$135.57	$219.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $137.68 / $158.82	Facility		$100.31	$137.68	$158.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $140.22 / $240.07	Professional		$108.67	$140.22	$240.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $180.95	Facility		$180.95	$180.95	$180.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $173.29 / $306.83	Professional		$110.95	$173.29	$306.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.88	Professional		$32.34	$32.34	$180.88
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 $151.35 / $201.02 / $335.87	Professional		$151.35	$201.02	$335.87