Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $235.12 / $3,740.00	Facility		$114.07	$235.12	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $187.43 / $240.49	Professional		$114.07	$187.43	$240.49
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 $97.97 / $146.63 / $249.56	Professional		$97.97	$146.63	$249.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $156.66 / $180.73	Facility		$114.44	$156.66	$180.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $175.95 / $260.41	Professional		$128.69	$175.95	$260.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.97 / $205.91 / $205.91	Facility		$197.97	$205.91	$205.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $203.84 / $365.20	Professional		$123.96	$203.84	$365.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $250.52 / $370.54	Professional		$169.84	$250.52	$370.54