Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $244.80 / $3,740.00	Facility		$163.36	$244.80	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $203.94 / $244.80	Professional		$140.03	$203.94	$244.80
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 $98.66 / $118.28 / $253.90	Professional		$98.66	$118.28	$253.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.31 / $259.43 / $299.27	Facility		$183.31	$259.43	$299.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $259.43 / $416.95	Professional		$203.84	$259.43	$416.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $340.97 / $340.97	Facility		$230.83	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $252.18 / $379.81	Professional		$177.02	$252.18	$379.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.55 / $241.29	Professional		$32.34	$55.55	$241.29
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 $166.42 / $244.85 / $416.09	Professional		$166.42	$244.85	$416.09