Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $277.76 / $8,229.00	Facility		$136.50	$277.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $205.89 / $277.76	Professional		$136.50	$205.89	$277.76
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 $115.21 / $184.47 / $292.89	Professional		$115.21	$184.47	$292.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $179.06 / $206.57	Facility		$130.46	$179.06	$206.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $185.46 / $290.07	Professional		$141.33	$185.46	$290.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $235.34 / $235.34	Facility		$235.34	$235.34	$235.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $235.50 / $419.19	Professional		$150.84	$235.50	$419.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.77	Professional		$32.34	$32.34	$217.77
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 $210.68 / $279.20 / $450.22	Professional		$210.68	$279.20	$450.22