Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.76 / $186.02 / $4,326.85	Facility		$120.76	$186.02	$4,326.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $149.91 / $221.43	Professional		$114.66	$149.91	$221.43
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 $90.39 / $114.85 / $193.87	Professional		$90.39	$114.85	$193.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $169.64 / $195.68	Facility		$124.55	$169.64	$195.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $175.70 / $272.63	Professional		$144.19	$175.70	$272.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $222.95 / $222.95	Facility		$162.22	$222.95	$222.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $174.36 / $316.92	Professional		$124.99	$174.36	$316.92
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 $129.69 / $187.36 / $311.06	Professional		$129.69	$187.36	$311.06