Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $195.58 / $2,920.61	Facility		$89.74	$195.58	$2,920.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $111.91 / $153.36	Professional		$81.20	$111.91	$153.36
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 $67.94 / $94.96 / $147.10	Professional		$67.94	$94.96	$147.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $119.36 / $137.69	Facility		$86.96	$119.36	$137.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $136.41 / $265.27	Professional		$101.46	$136.41	$265.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $156.88 / $156.88	Facility		$90.94	$156.88	$156.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $125.90 / $251.31	Professional		$85.17	$125.90	$251.31
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $138.80 / $238.73	Professional		$98.26	$138.80	$238.73