Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.60 / $212.98 / $8,229.00	Facility		$104.60	$212.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $141.27 / $212.98	Professional		$104.60	$141.27	$212.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $133.31 / $210.35	Professional		$90.55	$133.31	$210.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $139.38 / $160.80	Facility		$101.56	$139.38	$160.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $141.63 / $226.49	Professional		$99.56	$141.63	$226.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $183.19 / $183.19	Facility		$183.19	$183.19	$183.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $166.59 / $293.60	Professional		$110.71	$166.59	$293.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.92	Professional		$32.34	$32.34	$171.92
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 $146.66 / $189.34 / $342.82	Professional		$146.66	$189.34	$342.82