Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $234.31 / $2,747.00	Facility		$132.19	$234.31	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $222.80 / $323.39	Professional		$132.19	$222.80	$323.39
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 $120.45 / $145.24 / $257.60	Professional		$120.45	$145.24	$257.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $207.58 / $239.46	Facility		$144.63	$207.58	$239.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $214.48 / $359.06	Professional		$163.10	$214.48	$359.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.14 / $272.82 / $272.82	Facility		$223.14	$272.82	$272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $269.98 / $420.43	Professional		$168.14	$269.98	$420.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.51	Professional		$32.34	$32.34	$332.51
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $310.31 / $483.35	Professional		$219.85	$310.31	$483.35