Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $225.15 / $2,747.00	Facility		$112.21	$225.15	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $125.11 / $157.07	Professional		$91.96	$125.11	$157.07
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 $90.27 / $122.88 / $176.96	Professional		$90.27	$122.88	$176.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $126.69 / $147.91	Facility		$104.05	$126.69	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $147.69 / $281.18	Professional		$111.90	$147.69	$281.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.27 / $187.70 / $1,587.00	Facility		$162.27	$187.70	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $151.63 / $269.23	Professional		$110.58	$151.63	$269.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.77	Professional		$32.34	$32.34	$182.77
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 $123.92 / $158.43 / $257.64	Professional		$123.92	$158.43	$257.64