Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.28 / $250.82 / $3,740.00	Facility		$105.28	$250.82	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $141.97 / $194.76	Professional		$95.43	$141.97	$194.76
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 $82.08 / $117.77 / $181.40	Professional		$82.08	$117.77	$181.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $140.27 / $161.80	Facility		$102.93	$140.27	$161.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $159.22 / $250.84	Professional		$115.22	$159.22	$250.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.79 / $184.35 / $184.35	Facility		$157.79	$184.35	$184.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $160.90 / $293.20	Professional		$102.31	$160.90	$293.20
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 $124.22 / $177.18 / $291.22	Professional		$124.22	$177.18	$291.22