Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $988.00 / $8,229.00	Facility		$117.95	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $120.81 / $150.65	Professional		$112.80	$120.81	$150.65
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 $59.50 / $72.09 / $118.92	Professional		$59.50	$72.09	$118.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $156.56 / $180.61	Facility		$114.07	$156.56	$180.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $156.56 / $251.62	Professional		$111.83	$156.56	$251.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $138.16 / $138.16	Facility		$138.16	$138.16	$138.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $144.69 / $249.10	Professional		$115.13	$144.69	$249.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $150.00	Professional		$45.00	$45.00	$150.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $147.97 / $241.31	Professional		$108.71	$147.97	$241.31