Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $174.69 / $2,747.00	Facility		$114.42	$174.69	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $153.72 / $192.62	Professional		$114.42	$153.72	$192.62
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 $112.31 / $140.34 / $206.80	Professional		$112.31	$140.34	$206.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $156.76 / $183.02	Facility		$128.75	$156.76	$183.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $191.42 / $335.28	Professional		$138.21	$191.42	$335.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.36 / $232.24 / $3,236.00	Facility		$157.36	$232.24	$3,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $187.03 / $343.27	Professional		$137.65	$187.03	$343.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.93	Professional		$32.34	$32.34	$217.93
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,326.00	Facility		$50.00	$597.00	$3,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $196.69 / $308.66	Professional		$156.16	$196.69	$308.66