Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $176.21 / $8,229.00	Facility		$104.49	$176.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $139.01 / $213.94	Professional		$104.49	$139.01	$213.94
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 $91.67 / $133.69 / $194.67	Professional		$91.67	$133.69	$194.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.65 / $140.88 / $162.53	Facility		$102.65	$140.88	$162.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $141.88 / $226.42	Professional		$100.63	$141.88	$226.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $185.16 / $185.16	Facility		$185.16	$185.16	$185.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $159.88 / $273.18	Professional		$108.75	$159.88	$273.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $142.52	Professional		$32.34	$32.34	$142.52
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 $129.46 / $175.02 / $284.95	Professional		$129.46	$175.02	$284.95