Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $267.25 / $8,229.00	Facility		$100.18	$267.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $157.16 / $267.25	Professional		$99.61	$157.16	$267.25
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 $89.47 / $160.18 / $259.48	Professional		$89.47	$160.18	$259.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $136.77 / $157.78	Facility		$99.65	$136.77	$157.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $141.65 / $279.93	Professional		$107.95	$141.65	$279.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $179.75 / $179.75	Facility		$179.75	$179.75	$179.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $202.39 / $376.48	Professional		$110.15	$202.39	$376.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.18	Professional		$32.34	$32.34	$214.18
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 $175.92 / $245.96 / $387.86	Professional		$175.92	$245.96	$387.86