Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $860.00 / $10,152.00	Facility		$110.35	$860.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $118.97 / $166.75	Professional		$107.34	$118.97	$166.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $139.07 / $215.82	Professional		$114.76	$139.07	$215.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $172.16 / $198.59	Facility		$126.82	$172.16	$198.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $172.16 / $245.94	Professional		$133.31	$172.16	$245.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $152.24 / $199.22	Facility		$152.24	$152.24	$199.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $186.99 / $291.79	Professional		$130.33	$186.99	$291.79
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 $119.26 / $178.89 / $257.52	Professional		$119.26	$178.89	$257.52