Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $255.85 / $3,740.00	Facility		$146.00	$255.85	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $175.43 / $225.79	Professional		$150.52	$175.43	$225.79
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 $110.17 / $139.91 / $243.75	Professional		$110.17	$139.91	$243.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $230.10 / $265.45	Facility		$164.37	$230.10	$265.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $230.10 / $363.32	Professional		$180.80	$230.10	$363.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.93 / $302.42 / $302.42	Facility		$251.93	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $259.36 / $375.16	Professional		$185.79	$259.36	$375.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.66 / $199.83	Professional		$32.34	$50.66	$199.83
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 $170.25 / $233.60 / $371.59	Professional		$170.25	$233.60	$371.59