Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.15 / $220.63 / $3,740.00	Facility		$156.15	$220.63	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $188.57 / $231.41	Professional		$156.15	$188.57	$231.41
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 $130.30 / $154.97 / $240.10	Professional		$130.30	$154.97	$240.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.94 / $252.41 / $291.18	Facility		$177.94	$252.41	$291.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $248.82 / $355.46	Professional		$177.73	$248.82	$355.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.24 / $222.44 / $222.44	Facility		$217.24	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $246.85 / $350.87	Professional		$177.92	$246.85	$350.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.05	Professional		$32.34	$32.34	$231.05
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 $155.30 / $230.75 / $340.97	Professional		$155.30	$230.75	$340.97