Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.72 / $268.67 / $3,740.00	Facility		$199.72	$268.67	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.72 / $236.13 / $268.67	Professional		$199.72	$236.13	$268.67
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 $160.31 / $190.82 / $294.75	Professional		$160.31	$190.82	$294.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.97 / $316.18 / $364.72	Facility		$222.97	$316.18	$364.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.42 / $316.18 / $454.52	Professional		$248.42	$316.18	$454.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.80 / $415.55 / $415.55	Facility		$214.80	$415.55	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $304.77 / $438.38	Professional		$216.85	$304.77	$438.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $295.44	Professional		$32.34	$32.34	$295.44
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 $198.23 / $286.33 / $434.43	Professional		$198.23	$286.33	$434.43