Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $209.95 / $3,740.00	Facility		$104.09	$209.95	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $138.33 / $231.81	Professional		$94.72	$138.33	$231.81
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 $79.16 / $119.34 / $188.98	Professional		$79.16	$119.34	$188.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $141.51 / $166.78	Facility		$101.08	$141.51	$166.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $168.11 / $211.96	Professional		$131.40	$168.11	$211.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $185.99 / $185.99	Facility		$162.72	$185.99	$185.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $180.67 / $292.10	Professional		$115.72	$180.67	$292.10
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 $132.41 / $202.00 / $298.69	Professional		$132.41	$202.00	$298.69