Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $148.78 / $2,747.00	Facility		$103.52	$148.78	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $124.84 / $151.83	Professional		$103.52	$124.84	$151.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $124.80 / $188.64	Professional		$95.86	$124.80	$188.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $163.72 / $188.88	Facility		$119.29	$163.72	$188.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $164.90 / $263.14	Professional		$138.27	$164.90	$263.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $215.19 / $215.19	Facility		$215.19	$215.19	$215.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $156.91 / $265.50	Professional		$121.53	$156.91	$265.50
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $179.96 / $273.06	Professional		$118.24	$179.96	$273.06