Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $293.04 / $5,802.12	Facility		$95.27	$293.04	$5,802.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $211.66 / $240.52	Professional		$84.17	$211.66	$240.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $183.07 / $303.79	Professional		$79.89	$183.07	$303.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $127.83 / $147.46	Facility		$93.13	$127.83	$147.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $146.10 / $441.63	Professional		$108.66	$146.10	$441.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.01 / $168.01 / $168.01	Facility		$168.01	$168.01	$168.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $275.50 / $480.31	Professional		$109.29	$275.50	$480.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,394.00	Facility		$391.00	$1,335.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $351.46 / $500.70	Professional		$224.83	$351.46	$500.70