Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.29 / $787.00 / $3,740.00	Facility		$161.29	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $188.98 / $252.07	Professional		$161.29	$188.98	$252.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $166.64 / $250.30	Professional		$136.38	$166.64	$250.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $251.31 / $289.89	Facility		$178.55	$251.31	$289.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.51 / $251.31 / $359.02	Professional		$179.51	$251.31	$359.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $248.21	Facility		$225.06	$225.06	$248.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.99 / $250.61 / $373.28	Professional		$179.99	$250.61	$373.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.36	Professional		$32.34	$32.34	$233.36
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $215.75 / $345.45	Professional		$157.88	$215.75	$345.45