Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $238.76 / $2,747.00	Facility		$142.44	$238.76	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $212.45 / $301.17	Professional		$142.44	$212.45	$301.17
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 $120.98 / $150.60 / $221.15	Professional		$120.98	$150.60	$221.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $224.83 / $259.35	Facility		$156.47	$224.83	$259.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $232.59 / $384.87	Professional		$176.65	$232.59	$384.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.94 / $295.49 / $295.49	Facility		$215.94	$295.49	$295.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $264.93 / $438.16	Professional		$172.19	$264.93	$438.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $357.38	Professional		$32.34	$32.34	$357.38
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 $211.18 / $315.49 / $517.69	Professional		$211.18	$315.49	$517.69