Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $860.00 / $8,229.00	Facility		$111.89	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $115.99 / $142.91	Professional		$107.36	$115.99	$142.91
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 $87.54 / $106.08 / $158.69	Professional		$87.54	$106.08	$158.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $152.38 / $175.79	Facility		$111.02	$152.38	$175.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $152.38 / $217.70	Professional		$119.74	$152.38	$217.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $145.66 / $230.72	Professional		$108.72	$145.66	$230.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.74	Professional		$32.34	$32.34	$119.74
United Facility/Professional Facility Modifier Low / Median / High Price $619.00 / $1,850.00 / $8,979.00	Facility		$619.00	$1,850.00	$8,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $148.11 / $236.43	Professional		$106.93	$148.11	$236.43