Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $395.53 / $8,229.00	Facility		$83.49	$395.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $272.54 / $395.53	Professional		$83.49	$272.54	$395.53
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 $61.05 / $181.69 / $310.56	Professional		$61.05	$181.69	$310.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $112.76 / $130.07	Facility		$82.15	$112.76	$130.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $117.66 / $422.30	Professional		$78.73	$117.66	$422.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $148.19 / $148.19	Facility		$148.19	$148.19	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $298.02 / $570.59	Professional		$90.93	$298.02	$570.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.20	Professional		$32.34	$32.34	$309.20
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 $301.67 / $422.20 / $610.42	Professional		$301.67	$422.20	$610.42