Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $223.77 / $3,380.80	Facility		$109.76	$223.77	$3,380.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $135.37 / $196.74	Professional		$103.62	$135.37	$196.74
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 $87.74 / $103.23 / $149.78	Professional		$87.74	$103.23	$149.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $150.63 / $177.76	Facility		$102.38	$150.63	$177.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $150.91 / $242.10	Professional		$105.18	$150.91	$242.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $197.98	Facility		$197.98	$197.98	$197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $188.62 / $281.19	Professional		$125.91	$188.62	$281.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.37 / $161.11	Professional		$32.34	$71.37	$161.11
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 $143.46 / $201.37 / $270.63	Professional		$143.46	$201.37	$270.63