Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.35 / $223.14 / $4,329.21	Facility		$139.35	$223.14	$4,329.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $186.41 / $280.36	Professional		$126.65	$186.41	$280.36
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 $107.02 / $152.99 / $233.80	Professional		$107.02	$152.99	$233.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.32 / $168.43 / $196.63	Facility		$138.32	$168.43	$196.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $216.98 / $405.70	Professional		$123.34	$216.98	$405.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.37 / $249.52 / $1,111.00	Facility		$152.37	$249.52	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $196.95 / $346.66	Professional		$126.63	$196.95	$346.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.70	Professional		$32.34	$32.34	$263.70
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $221.99 / $363.76	Professional		$171.45	$221.99	$363.76