Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $308.39 / $3,740.00	Facility		$85.55	$308.39	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.60 / $154.53	Professional		$77.84	$106.60	$154.53
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 $63.77 / $99.80 / $153.86	Professional		$63.77	$99.80	$153.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $116.98 / $134.96	Facility		$85.53	$116.98	$134.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $121.16 / $188.01	Professional		$99.44	$121.16	$188.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.21 / $153.75 / $153.75	Facility		$135.21	$153.75	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $146.31 / $236.51	Professional		$95.41	$146.31	$236.51
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 $106.33 / $159.43 / $238.91	Professional		$106.33	$159.43	$238.91