Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.28 / $311.20 / $3,740.00	Facility		$134.28	$311.20	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $206.65 / $311.20	Professional		$142.51	$206.65	$311.20
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 $133.08 / $182.91 / $303.50	Professional		$133.08	$182.91	$303.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.81 / $205.67 / $237.25	Facility		$144.81	$205.67	$237.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $210.05 / $330.55	Professional		$161.60	$210.05	$330.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $270.31 / $306.43	Facility		$270.31	$270.31	$306.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $264.16 / $443.72	Professional		$184.39	$264.16	$443.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.30 / $243.35	Professional		$32.34	$57.30	$243.35
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $291.74 / $453.78	Professional		$198.80	$291.74	$453.78