Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $416.00 / $7,428.60	Facility		$117.93	$416.00	$7,428.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $199.21 / $301.17	Professional		$103.76	$199.21	$301.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,389.00 / $8,517.00	Facility		$1,643.00	$3,389.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $103.16 / $181.39	Professional		$86.87	$103.16	$181.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $146.77 / $172.67	Facility		$106.04	$146.77	$172.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $156.47 / $322.74	Professional		$117.54	$156.47	$322.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $253.61 / $481.29	Professional		$136.41	$253.61	$481.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.82	Professional		$32.34	$32.34	$192.82
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,968.00	Facility		$391.00	$1,335.00	$3,968.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.19 / $305.64 / $472.10	Professional		$239.19	$305.64	$472.10