Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $291.11 / $8,229.00	Facility		$95.13	$291.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $176.24 / $254.31	Professional		$95.13	$176.24	$254.31
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 $73.98 / $152.15 / $240.37	Professional		$73.98	$152.15	$240.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $126.91 / $146.40	Facility		$92.46	$126.91	$146.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $131.32 / $269.47	Professional		$88.61	$131.32	$269.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $166.80 / $166.80	Facility		$166.80	$166.80	$166.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $215.75 / $380.41	Professional		$105.40	$215.75	$380.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.00	Professional		$32.34	$32.34	$208.00
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 $194.58 / $276.07 / $402.23	Professional		$194.58	$276.07	$402.23