Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.82 / $287.00 / $2,747.00	Facility		$162.82	$287.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $238.15 / $362.01	Professional		$162.82	$238.15	$362.01
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 $133.84 / $157.87 / $254.95	Professional		$133.84	$157.87	$254.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $256.27 / $295.64	Facility		$174.00	$256.27	$295.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $265.44 / $462.39	Professional		$183.06	$265.44	$462.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.34 / $336.83 / $336.83	Facility		$180.34	$336.83	$336.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $318.52 / $570.51	Professional		$189.00	$318.52	$570.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $429.36	Professional		$32.34	$32.34	$429.36
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 $235.66 / $380.70 / $609.55	Professional		$235.66	$380.70	$609.55