Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $787.00 / $8,229.00	Facility		$90.40	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $103.02 / $116.93	Professional		$90.40	$103.02	$116.93
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 $90.17 / $109.27 / $168.80	Professional		$90.17	$109.27	$168.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.33 / $147.66 / $170.34	Facility		$109.33	$147.66	$170.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $147.66 / $210.94	Professional		$103.10	$147.66	$210.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $172.83	Facility		$129.58	$129.58	$172.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $150.03 / $229.86	Professional		$112.10	$150.03	$229.86
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 $105.34 / $146.62 / $215.09	Professional		$105.34	$146.62	$215.09