Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $304.70 / $3,740.00	Facility		$158.72	$304.70	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $238.57 / $358.84	Professional		$156.47	$238.57	$358.84
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 $122.92 / $183.14 / $306.14	Professional		$122.92	$183.14	$306.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $205.09 / $236.59	Facility		$149.41	$205.09	$236.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $216.96 / $331.24	Professional		$174.32	$216.96	$331.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $269.54 / $269.54	Facility		$157.04	$269.54	$269.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.84 / $254.24 / $486.48	Professional		$157.84	$254.24	$486.48
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 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.26 / $311.87 / $491.80	Professional		$222.26	$311.87	$491.80