Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.53 / $254.95 / $3,740.00	Facility		$130.53	$254.95	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $202.12 / $254.95	Professional		$133.03	$202.12	$254.95
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 $117.11 / $141.91 / $235.26	Professional		$117.11	$141.91	$235.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $205.00 / $236.49	Facility		$142.90	$205.00	$236.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $206.47 / $329.47	Professional		$161.26	$206.47	$329.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $269.43 / $269.43	Facility		$212.98	$269.43	$269.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $259.02 / $439.62	Professional		$169.36	$259.02	$439.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $300.26	Professional		$32.34	$32.34	$300.26
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 $203.89 / $287.62 / $440.27	Professional		$203.89	$287.62	$440.27