Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $259.70 / $8,229.00	Facility		$128.04	$259.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $194.00 / $281.31	Professional		$128.04	$194.00	$281.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $160.34 / $263.79	Professional		$113.51	$160.34	$263.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $172.61 / $199.12	Facility		$125.76	$172.61	$199.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $175.61 / $278.70	Professional		$123.29	$175.61	$278.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $226.85 / $226.85	Facility		$226.85	$226.85	$226.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $209.34 / $382.97	Professional		$137.18	$209.34	$382.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.51	Professional		$32.34	$32.34	$210.51
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $243.41 / $399.39	Professional		$189.29	$243.41	$399.39