Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,818.38 / $8,511.38	Facility		$128.82	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $208.93	Professional		$131.83	$147.91	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $11,220.18	Facility		$6,760.83	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $346.74	Professional		$125.89	$147.91	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $194.98	Facility		$114.82	$165.96	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $199.53	Professional		$117.49	$169.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $223.87	Facility		$34.67	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $1,621.81	Professional		$154.88	$323.59	$1,621.81
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $323.59	Professional		$131.83	$223.87	$323.59