Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $233.65 / $3,740.00	Facility		$113.46	$233.65	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $209.98 / $316.12	Professional		$127.67	$209.98	$316.12
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 $100.20 / $126.77 / $239.26	Professional		$100.20	$126.77	$239.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $184.98 / $218.30	Facility		$129.87	$184.98	$218.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $189.52 / $364.67	Professional		$145.34	$189.52	$364.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $243.12 / $243.12	Facility		$241.82	$243.12	$243.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $277.70 / $556.26	Professional		$164.99	$277.70	$556.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.13	Professional		$32.34	$32.34	$276.13
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $376.93 / $523.94	Professional		$233.67	$376.93	$523.94