Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $225.80 / $5,320.00	Facility		$119.80	$225.80	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $151.93 / $228.22	Professional		$111.61	$151.93	$228.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $106.73 / $171.79	Professional		$88.07	$106.73	$171.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $163.49 / $192.94	Facility		$115.26	$163.49	$192.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $166.65 / $267.22	Professional		$127.44	$166.65	$267.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $212.26 / $347.23	Professional		$136.32	$212.26	$347.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.63 / $190.87	Professional		$32.34	$69.63	$190.87
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 $169.90 / $245.33 / $331.59	Professional		$169.90	$245.33	$331.59