Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.83 / $255.77 / $3,740.00	Facility		$184.83	$255.77	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $222.43 / $290.00	Professional		$180.93	$222.43	$290.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $173.44 / $273.80	Professional		$144.24	$173.44	$273.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.85 / $292.14 / $337.02	Facility		$206.85	$292.14	$337.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $292.14 / $417.36	Professional		$208.68	$292.14	$417.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $383.97 / $383.97	Facility		$251.84	$383.97	$383.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $290.24 / $420.75	Professional		$200.41	$290.24	$420.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.59 / $242.03	Professional		$32.34	$56.59	$242.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $260.86 / $420.55	Professional		$194.47	$260.86	$420.55