Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.47 / $201.64 / $3,740.00	Facility		$88.47	$201.64	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $116.99 / $201.64	Professional		$85.69	$116.99	$201.64
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 $78.61 / $112.28 / $187.20	Professional		$78.61	$112.28	$187.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $112.60 / $129.90	Facility		$82.07	$112.60	$129.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $128.69 / $229.15	Professional		$95.71	$128.69	$229.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $147.99 / $147.99	Facility		$131.28	$147.99	$147.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $157.15 / $290.39	Professional		$100.38	$157.15	$290.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $187.55 / $277.48	Professional		$121.84	$187.55	$277.48