Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $362.82 / $3,740.00	Facility		$147.41	$362.82	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $296.95 / $396.65	Professional		$147.41	$296.95	$396.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $239.81 / $414.02	Professional		$144.02	$239.81	$414.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.52 / $199.11 / $232.46	Facility		$163.52	$199.11	$232.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $256.51 / $695.66	Professional		$156.71	$256.51	$695.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.99 / $294.99 / $294.99	Facility		$294.99	$294.99	$294.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $347.06 / $667.16	Professional		$165.36	$347.06	$667.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $452.18	Professional		$32.34	$32.34	$452.18
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 $313.47 / $389.77 / $603.32	Professional		$313.47	$389.77	$603.32