Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $319.56 / $2,747.00	Facility		$136.16	$319.56	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $172.88 / $274.45	Professional		$136.16	$172.88	$274.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $171.11 / $268.20	Professional		$129.47	$171.11	$268.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.31 / $217.45 / $250.84	Facility		$152.31	$217.45	$250.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $217.84 / $349.47	Professional		$170.70	$217.84	$349.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.62 / $285.79 / $285.79	Facility		$239.62	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $246.62 / $396.98	Professional		$163.85	$246.62	$396.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $273.47	Professional		$32.34	$32.34	$273.47
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $244.47 / $390.82	Professional		$179.85	$244.47	$390.82