Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $475.32 / $8,229.00	Facility		$89.40	$475.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $144.94 / $475.32	Professional		$91.12	$144.94	$475.32
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 $66.59 / $80.70 / $169.99	Professional		$66.59	$80.70	$169.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $120.85 / $139.40	Facility		$88.04	$120.85	$139.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $124.39 / $194.22	Professional		$86.32	$124.39	$194.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $158.83 / $158.83	Facility		$158.83	$158.83	$158.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $152.22 / $287.12	Professional		$94.36	$152.22	$287.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.44	Professional		$32.34	$32.34	$146.44
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 $128.72 / $183.56 / $279.31	Professional		$128.72	$183.56	$279.31