Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $115.83 / $8,229.00	Facility		$80.79	$115.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $107.12 / $135.41	Professional		$80.79	$107.12	$135.41
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 $58.22 / $98.48 / $145.12	Professional		$58.22	$98.48	$145.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $112.87 / $130.21	Facility		$82.76	$112.87	$130.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $116.90 / $181.40	Professional		$95.94	$116.90	$181.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $148.34 / $148.34	Facility		$141.31	$148.34	$148.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $133.56 / $205.53	Professional		$91.55	$133.56	$205.53
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 $101.64 / $144.00 / $201.69	Professional		$101.64	$144.00	$201.69