Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $215.00 / $2,747.00	Facility		$118.09	$215.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $208.69 / $263.24	Professional		$118.09	$208.69	$263.24
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 $106.51 / $126.70 / $178.85	Professional		$106.51	$126.70	$178.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $186.02 / $214.59	Facility		$129.72	$186.02	$214.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $192.04 / $338.31	Professional		$146.16	$192.04	$338.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $244.48 / $244.48	Facility		$211.70	$244.48	$244.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $249.20 / $453.82	Professional		$149.28	$249.20	$453.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.97 / $264.74	Professional		$32.34	$66.97	$264.74
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 $205.86 / $280.38 / $450.43	Professional		$205.86	$280.38	$450.43