Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $206.22 / $8,229.00	Facility		$128.29	$206.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $161.46 / $206.22	Professional		$128.29	$161.46	$206.22
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 $105.04 / $148.80 / $213.04	Professional		$105.04	$148.80	$213.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $172.45 / $198.93	Facility		$125.64	$172.45	$198.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $175.26 / $277.16	Professional		$137.96	$175.26	$277.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $226.65 / $226.65	Facility		$226.65	$226.65	$226.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $180.26 / $299.56	Professional		$130.85	$180.26	$299.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.64	Professional		$32.34	$32.34	$167.64
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $192.70 / $324.33	Professional		$150.58	$192.70	$324.33