Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.19 / $281.02 / $2,747.00	Facility		$146.19	$281.02	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $223.26 / $281.61	Professional		$149.31	$223.26	$281.61
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 $131.47 / $159.32 / $263.18	Professional		$131.47	$159.32	$263.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.18 / $230.17 / $265.52	Facility		$160.18	$230.17	$265.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.85 / $231.82 / $369.92	Professional		$180.85	$231.82	$369.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.27 / $302.51 / $302.51	Facility		$239.27	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $281.50 / $488.17	Professional		$184.55	$281.50	$488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.11	Professional		$32.34	$32.34	$332.11
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 $231.31 / $305.08 / $488.49	Professional		$231.31	$305.08	$488.49