Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $253.52 / $3,740.00	Facility		$126.94	$253.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $192.64 / $231.98	Professional		$126.94	$192.64	$231.98
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 $124.38 / $174.19 / $263.35	Professional		$124.38	$174.19	$263.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $174.16 / $200.91	Facility		$127.26	$174.16	$200.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $195.36 / $307.77	Professional		$148.04	$195.36	$307.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $228.90 / $228.90	Facility		$133.91	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $238.05 / $423.90	Professional		$139.99	$238.05	$423.90
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $292.60 / $399.60	Professional		$207.06	$292.60	$399.60