Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $224.14 / $8,229.00	Facility		$104.97	$224.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $154.93 / $224.14	Professional		$104.97	$154.93	$224.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $132.38 / $219.00	Professional		$91.13	$132.38	$219.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $141.53 / $163.27	Facility		$103.12	$141.53	$163.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $144.05 / $241.09	Professional		$98.82	$144.05	$241.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $186.01 / $186.01	Facility		$186.01	$186.01	$186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $173.00 / $304.64	Professional		$110.54	$173.00	$304.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $181.72	Professional		$32.34	$32.34	$181.72
United Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $1,339.00 / $5,654.00	Facility		$439.00	$1,339.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $199.32 / $326.14	Professional		$151.27	$199.32	$326.14