Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $159.32 / $8,229.00	Facility		$108.81	$159.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $126.47 / $170.09	Professional		$105.83	$126.47	$170.09
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 $114.05 / $138.21 / $198.49	Professional		$114.05	$138.21	$198.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $169.81 / $195.89	Facility		$125.04	$169.81	$195.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $171.02 / $272.89	Professional		$141.58	$171.02	$272.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $223.17 / $223.17	Facility		$181.09	$223.17	$223.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $193.79 / $294.14	Professional		$137.54	$193.79	$294.14
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $204.77 / $317.27	Professional		$137.13	$204.77	$317.27