Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $342.51 / $3,740.00	Facility		$138.11	$342.51	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $217.93 / $315.07	Professional		$138.11	$217.93	$315.07
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 $120.13 / $148.32 / $245.62	Professional		$120.13	$148.32	$245.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $216.15 / $249.34	Facility		$151.50	$216.15	$249.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $217.69 / $383.60	Professional		$169.83	$217.69	$383.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.52 / $284.08 / $284.08	Facility		$230.52	$284.08	$284.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $273.02 / $486.81	Professional		$168.89	$273.02	$486.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.28 / $290.60	Professional		$32.34	$48.28	$290.60
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 $200.89 / $311.77 / $519.47	Professional		$200.89	$311.77	$519.47