Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $244.99 / $8,229.00	Facility		$121.30	$244.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $173.76 / $244.99	Professional		$121.30	$173.76	$244.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $153.16 / $247.00	Professional		$109.74	$153.16	$247.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $162.54 / $187.51	Facility		$118.43	$162.54	$187.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $167.22 / $265.23	Professional		$113.49	$167.22	$265.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $213.62	Facility		$213.62	$213.62	$213.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $196.00 / $330.08	Professional		$129.40	$196.00	$330.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $200.73	Professional		$32.34	$32.34	$200.73
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 $166.51 / $215.38 / $388.74	Professional		$166.51	$215.38	$388.74