Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.82 / $400.00 / $3,740.00	Facility		$137.82	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $156.61 / $177.60	Professional		$137.82	$156.61	$177.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,968.00 / $2,894.00	Facility		$1,041.00	$1,968.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.81 / $175.48 / $243.85	Professional		$144.81	$175.48	$243.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $188.59 / $220.17	Facility		$154.87	$188.59	$220.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $212.96 / $328.64	Professional		$148.41	$212.96	$328.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $279.39 / $279.39	Facility		$279.39	$279.39	$279.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $192.64 / $347.97	Professional		$149.05	$192.64	$347.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $213.62	Professional		$32.34	$32.34	$213.62
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 $149.85 / $207.41 / $299.89	Professional		$149.85	$207.41	$299.89