Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $181.91 / $3,740.00	Facility		$148.12	$181.91	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $171.79 / $202.38	Professional		$148.12	$171.79	$202.38
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 $141.33 / $183.14 / $248.05	Professional		$141.33	$183.14	$248.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $200.14 / $230.89	Facility		$146.32	$200.14	$230.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $201.57 / $321.66	Professional		$170.12	$201.57	$321.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $263.05 / $263.05	Facility		$263.05	$263.05	$263.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $239.28 / $402.63	Professional		$170.20	$239.28	$402.63
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $247.51 / $351.25	Professional		$166.18	$247.51	$351.25