Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $289.62 / $2,747.00	Facility		$116.64	$289.62	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $231.12 / $350.26	Professional		$116.79	$231.12	$350.26
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 $96.56 / $124.88 / $216.04	Professional		$96.56	$124.88	$216.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $180.49 / $208.20	Facility		$127.08	$180.49	$208.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $181.78 / $438.16	Professional		$128.91	$181.78	$438.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $285.19	Facility		$237.21	$237.21	$285.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $276.00 / $503.53	Professional		$144.08	$276.00	$503.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.06 / $320.62	Professional		$32.34	$40.06	$320.62
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.36 / $337.44 / $540.26	Professional		$236.36	$337.44	$540.26