Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $263.55 / $3,740.00	Facility		$128.50	$263.55	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $196.79 / $263.55	Professional		$137.21	$196.79	$263.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $121.64 / $204.54	Professional		$100.38	$121.64	$204.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $198.97 / $229.52	Facility		$139.44	$198.97	$229.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $204.27 / $328.08	Professional		$156.33	$204.27	$328.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $261.50 / $261.50	Facility		$128.37	$261.50	$261.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $258.04 / $472.91	Professional		$156.43	$258.04	$472.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.35 / $248.07	Professional		$32.34	$56.35	$248.07
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 $209.70 / $290.60 / $480.24	Professional		$209.70	$290.60	$480.24