Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $256.33 / $8,229.00	Facility		$116.14	$256.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $177.85 / $256.33	Professional		$116.14	$177.85	$256.33
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 $84.65 / $140.19 / $244.30	Professional		$84.65	$140.19	$244.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.38 / $155.61 / $179.51	Facility		$113.38	$155.61	$179.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $157.78 / $276.81	Professional		$122.34	$157.78	$276.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $204.52 / $204.52	Facility		$204.52	$204.52	$204.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $197.31 / $342.52	Professional		$119.89	$197.31	$342.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.53	Professional		$32.34	$32.34	$206.53
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 $179.52 / $241.07 / $364.44	Professional		$179.52	$241.07	$364.44