Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.65 / $174.04 / $3,740.00	Facility		$132.65	$174.04	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $145.63 / $178.67	Professional		$116.73	$145.63	$178.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $130.29 / $199.40	Professional		$105.44	$130.29	$199.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $159.51 / $186.22	Facility		$131.00	$159.51	$186.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $181.95 / $316.44	Professional		$116.81	$181.95	$316.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $236.31 / $1,111.00	Facility		$127.25	$236.31	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.37 / $170.94 / $296.83	Professional		$138.37	$170.94	$296.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.69	Professional		$32.34	$32.34	$205.69
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $168.23 / $286.11	Professional		$133.97	$168.23	$286.11