Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $218.04 / $2,910.06	Facility		$115.91	$218.04	$2,910.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $176.31 / $272.50	Professional		$127.16	$176.31	$272.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $132.84 / $208.95	Professional		$108.98	$132.84	$208.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $184.97 / $213.37	Facility		$129.56	$184.97	$213.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $186.29 / $297.27	Professional		$145.38	$186.29	$297.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $317.95	Facility		$243.10	$243.10	$317.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $230.53 / $394.84	Professional		$153.88	$230.53	$394.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.13 / $218.04	Professional		$32.34	$46.13	$218.04
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $264.39 / $394.04	Professional		$179.01	$264.39	$394.04