Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $606.26 / $2,747.00	Facility		$150.04	$606.26	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.53 / $264.58 / $393.02	Professional		$160.53	$264.58	$393.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $152.69 / $308.08	Professional		$111.89	$152.69	$308.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.98 / $236.26 / $272.56	Facility		$167.98	$236.26	$272.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $237.95 / $424.47	Professional		$185.64	$237.95	$424.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.85 / $310.52 / $310.52	Facility		$308.85	$310.52	$310.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $384.74 / $689.63	Professional		$211.70	$384.74	$689.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.60	Professional		$32.34	$32.34	$377.60
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.16 / $453.45 / $667.92	Professional		$316.16	$453.45	$667.92