Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.87 / $258.93 / $2,747.00	Facility		$154.87	$258.93	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $228.79 / $323.74	Professional		$154.87	$228.79	$323.74
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 $143.66 / $177.48 / $232.20	Professional		$143.66	$177.48	$232.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $243.00 / $280.31	Facility		$169.35	$243.00	$280.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $251.02 / $412.59	Professional		$190.93	$251.02	$412.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.97 / $319.37 / $319.37	Facility		$254.97	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $305.02 / $501.99	Professional		$193.63	$305.02	$501.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $382.75	Professional		$32.34	$32.34	$382.75
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 $238.72 / $357.78 / $556.53	Professional		$238.72	$357.78	$556.53