Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $215.49 / $8,229.00	Facility		$69.52	$215.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $124.03 / $215.49	Professional		$69.52	$124.03	$215.49
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 $54.46 / $100.70 / $187.81	Professional		$54.46	$100.70	$187.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $94.11 / $108.57	Facility		$68.56	$94.11	$108.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $97.50 / $230.03	Professional		$67.22	$97.50	$230.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $159.63 / $301.36	Professional		$75.81	$159.63	$301.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.61	Professional		$32.34	$32.34	$171.61
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 $140.46 / $197.39 / $309.39	Professional		$140.46	$197.39	$309.39