Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $753.58 / $6,286.64	Facility		$147.93	$753.58	$6,286.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $549.04 / $881.31	Professional		$141.66	$549.04	$881.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $493.00 / $724.46	Professional		$108.30	$493.00	$724.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $188.27 / $217.19	Facility		$137.24	$188.27	$217.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $197.19 / $755.35	Professional		$134.47	$197.19	$755.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.44 / $247.44 / $247.44	Facility		$247.44	$247.44	$247.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $653.79 / $1,303.83	Professional		$151.77	$653.79	$1,303.83
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 $674.04 / $1,044.93 / $1,334.70	Professional		$674.04	$1,044.93	$1,334.70