Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $131.74 / $8,229.00	Facility		$103.14	$131.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $105.67 / $131.74	Professional		$96.91	$105.67	$131.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.15 / $459.32 / $11,253.00	Facility		$152.15	$459.32	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $107.82 / $151.30	Professional		$88.98	$107.82	$151.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.52 / $137.97 / $159.16	Facility		$100.52	$137.97	$159.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $137.97 / $197.10	Professional		$108.90	$137.97	$197.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $120.98 / $120.98	Facility		$120.98	$120.98	$120.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $138.15 / $213.40	Professional		$103.94	$138.15	$213.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.41	Professional		$32.34	$32.34	$108.41
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $134.43 / $210.74	Professional		$97.95	$134.43	$210.74