Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $184.20 / $4,326.85	Facility		$106.73	$184.20	$4,326.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $140.66 / $184.20	Professional		$98.99	$140.66	$184.20
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 $81.09 / $126.19 / $194.49	Professional		$81.09	$126.19	$194.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.77 / $147.41 / $170.07	Facility		$107.77	$147.41	$170.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $152.69 / $236.93	Professional		$125.31	$152.69	$236.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $193.75 / $193.75	Facility		$168.30	$193.75	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $186.90 / $299.70	Professional		$120.53	$186.90	$299.70
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 $136.47 / $209.55 / $302.70	Professional		$136.47	$209.55	$302.70