Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.90 / $239.15 / $2,747.00	Facility		$137.90	$239.15	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $232.74 / $295.44	Professional		$137.90	$232.74	$295.44
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 $127.71 / $156.88 / $213.58	Professional		$127.71	$156.88	$213.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $216.66 / $249.95	Facility		$151.09	$216.66	$249.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $223.67 / $377.68	Professional		$154.76	$223.67	$377.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.48 / $284.76 / $284.76	Facility		$235.48	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $281.44 / $477.91	Professional		$176.31	$281.44	$477.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $349.80	Professional		$32.34	$32.34	$349.80
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 $234.98 / $324.52 / $517.77	Professional		$234.98	$324.52	$517.77