Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $787.00 / $8,229.00	Facility		$85.35	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $101.61 / $160.03	Professional		$85.35	$101.61	$160.03
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 $87.21 / $105.90 / $148.51	Professional		$87.21	$105.90	$148.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.94 / $140.35 / $161.90	Facility		$103.94	$140.35	$161.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $140.35 / $200.50	Professional		$111.22	$140.35	$200.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $122.75 / $196.48	Facility		$122.75	$122.75	$196.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $141.76 / $222.38	Professional		$102.29	$141.76	$222.38
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 $101.07 / $143.52 / $204.44	Professional		$101.07	$143.52	$204.44