Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.56 / $380.62 / $3,740.00	Facility		$141.56	$380.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $189.67 / $250.03	Professional		$140.91	$189.67	$250.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $113.63 / $199.52	Professional		$93.77	$113.63	$199.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $185.72 / $214.24	Facility		$136.81	$185.72	$214.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $192.36 / $298.49	Professional		$157.87	$192.36	$298.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $244.09 / $244.09	Facility		$148.68	$244.09	$244.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $216.30 / $419.50	Professional		$133.71	$216.30	$419.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $253.92 / $377.44	Professional		$185.11	$253.92	$377.44