Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $198.57 / $3,740.00	Facility		$112.06	$198.57	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $145.12 / $223.86	Professional		$114.56	$145.12	$223.86
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 $87.10 / $105.91 / $195.91	Professional		$87.10	$105.91	$195.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $170.11 / $196.23	Facility		$120.13	$170.11	$196.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $171.33 / $273.39	Professional		$133.66	$171.33	$273.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.52 / $223.58 / $223.58	Facility		$195.52	$223.58	$223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $206.95 / $329.55	Professional		$150.77	$206.95	$329.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.15 / $172.05	Professional		$32.34	$61.15	$172.05
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $206.09 / $324.70	Professional		$155.19	$206.09	$324.70