Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $851.14 / $3,890.45	Facility		$169.82	$851.14	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $295.12	Professional		$147.91	$190.55	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $234.42	Professional		$144.54	$181.97	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $229.09	Facility		$141.25	$194.98	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $234.42	Professional		$141.25	$199.53	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $263.03	Facility		$34.67	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $912.01	Professional		$165.96	$257.04	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $323.59	Professional		$147.91	$218.78	$323.59