Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.58 / $352.32 / $3,740.00	Facility		$178.58	$352.32	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $297.30 / $423.38	Professional		$183.77	$297.30	$423.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $221.50 / $332.96	Professional		$153.47	$221.50	$332.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.11 / $244.88 / $285.89	Facility		$201.11	$244.88	$285.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.73 / $281.97 / $465.29	Professional		$192.73	$281.97	$465.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.11 / $362.79 / $362.79	Facility		$268.11	$362.79	$362.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.33 / $314.16 / $606.40	Professional		$204.33	$314.16	$606.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $416.38	Professional		$32.34	$32.34	$416.38
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $334.81 / $566.35	Professional		$253.11	$334.81	$566.35