Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $272.32 / $8,229.00	Facility		$101.47	$272.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $170.96 / $272.32	Professional		$100.82	$170.96	$272.32
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 $85.79 / $156.54 / $249.18	Professional		$85.79	$156.54	$249.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $137.68 / $158.82	Facility		$100.31	$137.68	$158.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $142.59 / $286.14	Professional		$96.13	$142.59	$286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $180.95	Facility		$180.95	$180.95	$180.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $206.31 / $382.99	Professional		$107.86	$206.31	$382.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $218.94	Professional		$32.34	$32.34	$218.94
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 $181.72 / $252.20 / $390.01	Professional		$181.72	$252.20	$390.01