Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $138.83 / $8,229.00	Facility		$108.70	$138.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $111.69 / $138.83	Professional		$102.43	$111.69	$138.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $114.42 / $166.60	Professional		$94.42	$114.42	$166.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $145.77 / $168.15	Facility		$106.20	$145.77	$168.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $145.77 / $208.24	Professional		$112.76	$145.77	$208.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $127.87	Facility		$127.87	$127.87	$127.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $149.79 / $224.58	Professional		$109.86	$149.79	$224.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.53	Professional		$32.34	$32.34	$114.53
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 $106.11 / $143.12 / $224.58	Professional		$106.11	$143.12	$224.58