Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $140.57 / $8,229.00	Facility		$84.06	$140.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $107.61 / $140.57	Professional		$84.06	$107.61	$140.57
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 $67.23 / $95.79 / $155.08	Professional		$67.23	$95.79	$155.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $101.47 / $117.06	Facility		$73.93	$101.47	$117.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $102.93 / $163.08	Professional		$81.18	$102.93	$163.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $133.36 / $133.36	Facility		$133.36	$133.36	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $121.16 / $200.17	Professional		$83.61	$121.16	$200.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.45	Professional		$32.34	$32.34	$98.45
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 $105.44 / $129.56 / $227.66	Professional		$105.44	$129.56	$227.66