Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $224.44 / $3,740.00	Facility		$123.44	$224.44	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $186.56 / $232.37	Professional		$123.44	$186.56	$232.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $154.12 / $239.14	Professional		$114.36	$154.12	$239.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.55 / $169.92 / $198.37	Facility		$139.55	$169.92	$198.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $199.45 / $408.08	Professional		$150.07	$199.45	$408.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $251.73 / $1,111.00	Facility		$155.05	$251.73	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $197.63 / $347.69	Professional		$127.70	$197.63	$347.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.25	Professional		$32.34	$32.34	$265.25
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 $172.81 / $223.59 / $365.41	Professional		$172.81	$223.59	$365.41