Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $247.86 / $2,747.00	Facility		$149.13	$247.86	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $240.00 / $302.73	Professional		$149.13	$240.00	$302.73
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 $125.80 / $155.80 / $230.33	Professional		$125.80	$155.80	$230.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $233.46 / $269.33	Facility		$162.40	$233.46	$269.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $235.13 / $384.38	Professional		$183.58	$235.13	$384.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.06 / $306.83 / $306.83	Facility		$244.06	$306.83	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $293.83 / $505.38	Professional		$182.94	$293.83	$505.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.78 / $302.02	Professional		$32.34	$85.78	$302.02
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 $226.41 / $316.10 / $522.27	Professional		$226.41	$316.10	$522.27