Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $143.76 / $8,229.00	Facility		$103.75	$143.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $133.04 / $207.49	Professional		$103.75	$133.04	$207.49
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 $70.02 / $109.28 / $181.80	Professional		$70.02	$109.28	$181.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $144.05 / $166.17	Facility		$105.67	$144.05	$166.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $149.19 / $231.50	Professional		$113.18	$149.19	$231.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.32 / $189.32 / $189.32	Facility		$151.32	$189.32	$189.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $158.09 / $260.87	Professional		$111.08	$158.09	$260.87
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $165.39 / $260.37	Professional		$119.52	$165.39	$260.37