Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.34 / $324.91 / $3,740.00	Facility		$133.34	$324.91	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $203.10 / $264.48	Professional		$140.82	$203.10	$264.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $160.19 / $240.96	Professional		$128.22	$160.19	$240.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $208.31 / $240.29	Facility		$146.30	$208.31	$240.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $213.35 / $345.78	Professional		$163.66	$213.35	$345.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $319.93	Facility		$273.77	$273.77	$319.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $281.93 / $463.83	Professional		$183.95	$281.93	$463.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.42 / $246.98	Professional		$32.34	$57.42	$246.98
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 $218.52 / $293.67 / $498.13	Professional		$218.52	$293.67	$498.13