Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $416.00 / $3,740.00	Facility		$147.55	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $413.11 / $711.49	Professional		$157.13	$413.11	$711.49
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 $126.14 / $433.14 / $606.76	Professional		$126.14	$433.14	$606.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $187.80 / $216.64	Facility		$136.82	$187.80	$216.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $214.62 / $747.70	Professional		$134.13	$214.62	$747.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.82 / $246.82 / $246.82	Facility		$246.82	$246.82	$246.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $623.86 / $1,145.06	Professional		$178.48	$623.86	$1,145.06
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 $571.59 / $877.31 / $1,108.42	Professional		$571.59	$877.31	$1,108.42