Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $144.77 / $8,229.00	Facility		$100.60	$144.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $113.97 / $131.12	Professional		$100.60	$113.97	$131.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $126.66 / $224.64	Professional		$104.52	$126.66	$224.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $163.38 / $188.48	Facility		$120.97	$163.38	$188.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $163.38 / $233.42	Professional		$128.38	$163.38	$233.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $176.10	Facility		$143.41	$143.41	$176.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $171.26 / $260.92	Professional		$127.60	$171.26	$260.92
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $167.72 / $224.21	Professional		$127.50	$167.72	$224.21