Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.82 / $193.50 / $8,229.00	Facility		$110.82	$193.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $149.06 / $211.17	Professional		$109.61	$149.06	$211.17
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 $95.09 / $139.54 / $204.70	Professional		$95.09	$139.54	$204.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $150.54 / $173.66	Facility		$109.68	$150.54	$173.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $153.50 / $241.94	Professional		$120.43	$153.50	$241.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $165.74 / $292.99	Professional		$116.55	$165.74	$292.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.79	Professional		$32.34	$32.34	$154.79
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $790.00 / $3,394.00	Facility		$327.00	$790.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $186.73 / $303.02	Professional		$137.72	$186.73	$303.02