Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.65 / $261.38 / $8,229.00	Facility		$132.65	$261.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $138.68 / $236.81	Professional		$118.95	$138.68	$236.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.83 / $530.45 / $729.90	Professional		$397.83	$530.45	$729.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.19 / $141.71 / $835.90	Facility		$98.19	$141.71	$835.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $141.71 / $202.44	Professional		$98.94	$141.71	$202.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $132.75 / $592.47	Professional		$103.45	$132.75	$592.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $45.00 / $65.00	Professional		$33.75	$45.00	$65.00
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 $63.37 / $103.58 / $222.87	Professional		$63.37	$103.58	$222.87