Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $140.81 / $8,229.00	Facility		$110.24	$140.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $113.86 / $140.81	Professional		$107.75	$113.86	$140.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $129.84 / $172.59	Professional		$107.15	$129.84	$172.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $147.03 / $169.61	Facility		$107.12	$147.03	$169.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $147.03 / $210.04	Professional		$113.22	$147.03	$210.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $129.34 / $129.34	Facility		$129.34	$129.34	$129.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $173.97 / $268.64	Professional		$112.46	$173.97	$268.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.73	Professional		$32.34	$32.34	$123.73
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $177.04 / $242.35	Professional		$109.43	$177.04	$242.35