Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $395.60 / $3,119.87	Facility		$103.51	$395.60	$3,119.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $147.29 / $217.51	Professional		$99.80	$147.29	$217.51
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 $88.81 / $107.26 / $175.19	Professional		$88.81	$107.26	$175.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $146.96 / $173.41	Facility		$103.09	$146.96	$173.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $147.81 / $236.18	Professional		$102.61	$147.81	$236.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.40 / $193.14 / $193.14	Facility		$192.40	$193.14	$193.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $195.79 / $320.06	Professional		$125.86	$195.79	$320.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.57	Professional		$32.34	$32.34	$196.57
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 $154.44 / $220.80 / $298.44	Professional		$154.44	$220.80	$298.44