Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $363.59 / $3,740.00	Facility		$190.48	$363.59	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.10 / $235.57 / $341.56	Professional		$199.10	$235.57	$341.56
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 $155.32 / $187.30 / $336.05	Professional		$155.32	$187.30	$336.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $300.94 / $347.17	Facility		$212.73	$300.94	$347.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $300.94 / $483.66	Professional		$236.00	$300.94	$483.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $395.53 / $395.53	Facility		$358.03	$395.53	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $339.98 / $497.00	Professional		$247.48	$339.98	$497.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.87 / $266.73	Professional		$32.34	$92.87	$266.73
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 $231.40 / $319.36 / $482.89	Professional		$231.40	$319.36	$482.89