Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $330.78 / $3,740.00	Facility		$139.22	$330.78	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $241.61 / $330.78	Professional		$139.22	$241.61	$330.78
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 $116.75 / $147.04 / $239.51	Professional		$116.75	$147.04	$239.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $217.45 / $250.84	Facility		$152.44	$217.45	$250.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $219.00 / $420.07	Professional		$170.85	$219.00	$420.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.44 / $285.79 / $285.79	Facility		$239.44	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $275.77 / $504.96	Professional		$170.04	$275.77	$504.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.04 / $300.05	Professional		$32.34	$49.04	$300.05
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 $239.53 / $339.05 / $532.86	Professional		$239.53	$339.05	$532.86