Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $312.81 / $8,229.00	Facility		$128.38	$312.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $217.50 / $312.81	Professional		$128.38	$217.50	$312.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $170.54 / $309.47	Professional		$106.27	$170.54	$309.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.44 / $173.54 / $200.20	Facility		$126.44	$173.54	$200.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $179.74 / $337.27	Professional		$138.84	$179.74	$337.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $228.09 / $228.09	Facility		$228.09	$228.09	$228.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $240.87 / $445.47	Professional		$134.41	$240.87	$445.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.13	Professional		$32.34	$32.34	$257.13
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 $221.36 / $274.27 / $482.83	Professional		$221.36	$274.27	$482.83