Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $860.00 / $8,229.00	Facility		$128.72	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $132.51 / $190.34	Professional		$128.19	$132.51	$190.34
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 $170.68 / $220.95 / $324.50	Professional		$170.68	$220.95	$324.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.11 / $173.10 / $199.67	Facility		$126.11	$173.10	$199.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $173.10 / $247.28	Professional		$135.11	$173.10	$247.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $151.61 / $151.61	Facility		$151.61	$151.61	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $250.00 / $412.02	Professional		$135.82	$250.00	$412.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.10	Professional		$32.34	$32.34	$173.10
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 $130.35 / $237.50 / $326.04	Professional		$130.35	$237.50	$326.04