Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $257.49 / $3,740.00	Facility		$121.92	$257.49	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $201.60 / $301.39	Professional		$116.15	$201.60	$301.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $149.77 / $258.52	Professional		$104.11	$149.77	$258.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $155.18 / $179.00	Facility		$113.87	$155.18	$179.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $160.72 / $289.97	Professional		$121.92	$160.72	$289.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $203.95 / $203.95	Facility		$175.30	$203.95	$203.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $204.79 / $378.21	Professional		$125.26	$204.79	$378.21
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $278.52 / $410.27	Professional		$180.03	$278.52	$410.27