Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $152.15 / $8,229.00	Facility		$93.62	$152.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $93.62 / $107.61	Professional		$87.65	$93.62	$107.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $109.84 / $179.34	Professional		$90.64	$109.84	$179.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $145.50 / $167.85	Facility		$107.11	$145.50	$167.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $145.50 / $207.86	Professional		$101.59	$145.50	$207.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $128.35 / $149.94	Facility		$128.35	$128.35	$149.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $144.91 / $221.34	Professional		$106.96	$144.91	$221.34
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 $100.06 / $139.47 / $220.79	Professional		$100.06	$139.47	$220.79