Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.37 / $291.08 / $8,229.00	Facility		$173.37	$291.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $226.45 / $371.79	Professional		$161.29	$226.45	$371.79
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 $91.09 / $160.24 / $248.29	Professional		$91.09	$160.24	$248.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.13 / $232.13 / $267.79	Facility		$169.13	$232.13	$267.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $235.26 / $397.47	Professional		$182.39	$235.26	$397.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $305.08 / $305.08	Facility		$305.08	$305.08	$305.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $228.06 / $478.34	Professional		$136.49	$228.06	$478.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $300.97	Professional		$32.34	$32.34	$300.97
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $286.64 / $567.41	Professional		$188.89	$286.64	$567.41