Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $345.29 / $8,229.00	Facility		$80.91	$345.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $164.43 / $345.29	Professional		$80.53	$164.43	$345.29
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 $68.39 / $144.74 / $279.82	Professional		$68.39	$144.74	$279.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $109.47 / $126.27	Facility		$79.75	$109.47	$126.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $113.38 / $365.13	Professional		$86.40	$113.38	$365.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $143.87	Facility		$143.87	$143.87	$143.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $212.97 / $411.75	Professional		$86.10	$212.97	$411.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $271.37	Professional		$32.34	$32.34	$271.37
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 $216.39 / $283.37 / $507.52	Professional		$216.39	$283.37	$507.52