Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $860.00 / $8,229.00	Facility		$125.32	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $129.11 / $160.06	Professional		$119.24	$129.11	$160.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,689.00 / $8,800.00	Facility		$2,088.00	$3,689.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $131.22 / $174.69	Professional		$108.29	$131.22	$174.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $168.74 / $194.66	Facility		$122.94	$168.74	$194.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $168.74 / $241.06	Professional		$130.41	$168.74	$241.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $147.79	Facility		$147.79	$147.79	$147.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $177.59 / $277.06	Professional		$126.93	$177.59	$277.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.58	Professional		$32.34	$32.34	$132.58
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 $123.27 / $184.18 / $272.77	Professional		$123.27	$184.18	$272.77