Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.71 / $298.52 / $3,740.00	Facility		$177.71	$298.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $229.02 / $303.77	Professional		$156.38	$229.02	$303.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $194.24 / $309.61	Professional		$149.86	$194.24	$309.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $215.35 / $251.42	Facility		$176.86	$215.35	$251.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $262.43 / $531.74	Professional		$190.40	$262.43	$531.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.50 / $319.04 / $1,111.00	Facility		$179.50	$319.04	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $275.05 / $493.25	Professional		$187.68	$275.05	$493.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.63	Professional		$32.34	$32.34	$345.63
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $285.62 / $468.87	Professional		$219.71	$285.62	$468.87