Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $231.70 / $5,320.00	Facility		$127.48	$231.70	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $193.09 / $239.95	Professional		$127.48	$193.09	$239.95
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 $124.64 / $160.76 / $250.12	Professional		$124.64	$160.76	$250.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.96 / $175.30 / $204.65	Facility		$143.96	$175.30	$204.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $205.90 / $421.28	Professional		$137.96	$205.90	$421.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $259.70 / $1,111.00	Facility		$152.66	$259.70	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $217.06 / $410.46	Professional		$139.01	$217.06	$410.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $273.83	Professional		$32.34	$32.34	$273.83
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 $181.71 / $233.65 / $375.73	Professional		$181.71	$233.65	$375.73