Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.79 / $787.00 / $8,229.00	Facility		$94.79	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $105.85 / $136.90	Professional		$94.79	$105.85	$136.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $138.07 / $212.70	Professional		$117.35	$138.07	$212.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $149.59 / $172.56	Facility		$109.15	$149.59	$172.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $149.59 / $213.70	Professional		$104.45	$149.59	$213.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $133.08 / $215.76	Facility		$133.08	$133.08	$215.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $185.08 / $306.00	Professional		$120.06	$185.08	$306.00
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 $122.65 / $174.47 / $254.19	Professional		$122.65	$174.47	$254.19