Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.36 / $241.89 / $3,740.00	Facility		$139.36	$241.89	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $198.01 / $254.00	Professional		$139.36	$198.01	$254.00
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 $139.16 / $174.78 / $268.20	Professional		$139.16	$174.78	$268.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $208.78 / $247.44	Facility		$157.74	$208.78	$247.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $247.44 / $439.80	Professional		$154.65	$247.44	$439.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.67 / $284.56 / $1,111.00	Facility		$165.67	$284.56	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $231.54 / $368.00	Professional		$157.10	$231.54	$368.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $285.87	Professional		$32.34	$32.34	$285.87
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 $194.06 / $243.99 / $392.19	Professional		$194.06	$243.99	$392.19