Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.97 / $340.60 / $5,320.00	Facility		$201.97	$340.60	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.79 / $266.67 / $340.60	Professional		$187.79	$266.67	$340.60
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 $185.75 / $269.67 / $406.71	Professional		$185.75	$269.67	$406.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.97 / $257.05 / $296.52	Facility		$187.97	$257.05	$296.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $295.32 / $413.12	Professional		$218.50	$295.32	$413.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.43 / $337.84 / $337.84	Facility		$248.43	$337.84	$337.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $329.77 / $646.91	Professional		$225.56	$329.77	$646.91
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 $284.95 / $376.18 / $582.69	Professional		$284.95	$376.18	$582.69