Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $311.41 / $3,740.00	Facility		$126.64	$311.41	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $188.52 / $283.25	Professional		$133.34	$188.52	$283.25
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 $112.37 / $143.90 / $214.78	Professional		$112.37	$143.90	$214.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $201.88 / $238.24	Facility		$142.32	$201.88	$238.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $205.79 / $365.90	Professional		$157.44	$205.79	$365.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.46 / $265.33 / $265.33	Facility		$189.46	$265.33	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $306.66 / $477.18	Professional		$170.85	$306.66	$477.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.45	Professional		$32.34	$32.34	$277.45
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $337.68 / $485.49	Professional		$229.84	$337.68	$485.49