Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $240.55 / $3,740.00	Facility		$141.37	$240.55	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $196.98 / $251.51	Professional		$141.37	$196.98	$251.51
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 $142.21 / $175.52 / $272.95	Professional		$142.21	$175.52	$272.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $194.80 / $227.42	Facility		$159.97	$194.80	$227.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $250.94 / $437.36	Professional		$153.31	$250.94	$437.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.08 / $288.58 / $288.58	Facility		$168.08	$288.58	$288.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $230.01 / $366.36	Professional		$160.25	$230.01	$366.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.27	Professional		$32.34	$32.34	$284.27
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 $195.72 / $249.39 / $381.97	Professional		$195.72	$249.39	$381.97