Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.25 / $207.69 / $8,229.00	Facility		$103.25	$207.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $146.68 / $192.93	Professional		$103.25	$146.68	$192.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $137.62 / $200.16	Professional		$86.07	$137.62	$200.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $139.27 / $160.66	Facility		$101.47	$139.27	$160.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $140.27 / $223.83	Professional		$99.48	$140.27	$223.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $183.04 / $183.04	Facility		$183.04	$183.04	$183.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $160.94 / $285.50	Professional		$107.57	$160.94	$285.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.30	Professional		$32.34	$32.34	$155.30
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 $135.28 / $182.34 / $289.66	Professional		$135.28	$182.34	$289.66