Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $253.89 / $3,740.00	Facility		$115.21	$253.89	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $176.17 / $257.17	Professional		$115.21	$176.17	$257.17
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 $95.45 / $115.67 / $176.35	Professional		$95.45	$115.67	$176.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $156.32 / $180.33	Facility		$114.71	$156.32	$180.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $178.66 / $344.93	Professional		$132.88	$178.66	$344.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.94 / $205.45 / $205.45	Facility		$177.94	$205.45	$205.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $212.19 / $426.18	Professional		$120.24	$212.19	$426.18
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $260.43 / $465.32	Professional		$201.47	$260.43	$465.32