Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $200.71 / $8,229.00	Facility		$86.93	$200.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $127.83 / $200.71	Professional		$86.93	$127.83	$200.71
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 $73.22 / $113.81 / $192.03	Professional		$73.22	$113.81	$192.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $117.19 / $135.19	Facility		$85.38	$117.19	$135.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $121.38 / $215.22	Professional		$83.71	$121.38	$215.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $154.03 / $154.03	Facility		$154.03	$154.03	$154.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $149.60 / $266.38	Professional		$90.51	$149.60	$266.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.29	Professional		$32.34	$32.34	$162.29
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $173.28 / $284.52	Professional		$132.69	$173.28	$284.52