Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $349.09 / $5,320.00	Facility		$121.20	$349.09	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $184.68 / $258.47	Professional		$113.38	$184.68	$258.47
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 $120.94 / $183.54 / $264.76	Professional		$120.94	$183.54	$264.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $154.25 / $181.80	Facility		$110.18	$154.25	$181.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $201.09 / $253.20	Professional		$143.22	$201.09	$253.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $202.73 / $233.13	Facility		$202.73	$202.73	$233.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $222.10 / $409.25	Professional		$142.44	$222.10	$409.25
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $284.00 / $356.97	Professional		$183.26	$284.00	$356.97