Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $416.00 / $3,965.63	Facility		$146.22	$416.00	$3,965.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $155.38 / $208.60	Professional		$132.00	$155.38	$208.60
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 $117.99 / $148.72 / $218.51	Professional		$117.99	$148.72	$218.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $197.61 / $227.96	Facility		$144.91	$197.61	$227.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $199.02 / $317.58	Professional		$159.88	$199.02	$317.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.91 / $259.72 / $259.72	Facility		$169.91	$259.72	$259.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $192.04 / $305.04	Professional		$146.15	$192.04	$305.04
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $211.13 / $311.95	Professional		$136.33	$211.13	$311.95