Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $256.12 / $8,229.00	Facility		$95.95	$256.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $157.36 / $256.12	Professional		$94.65	$157.36	$256.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $137.44 / $227.71	Professional		$73.14	$137.44	$227.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.93 / $130.30 / $150.31	Facility		$94.93	$130.30	$150.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $134.94 / $268.63	Professional		$93.07	$134.94	$268.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $171.25 / $171.25	Facility		$171.25	$171.25	$171.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $183.93 / $360.01	Professional		$97.97	$183.93	$360.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.04	Professional		$32.34	$32.34	$205.04
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $238.04 / $367.16	Professional		$169.65	$238.04	$367.16