Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.58 / $462.99 / $3,740.00	Facility		$142.58	$462.99	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $444.38 / $612.02	Professional		$138.09	$444.38	$612.02
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 $141.34 / $409.56 / $590.30	Professional		$141.34	$409.56	$590.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $181.47 / $209.34	Facility		$132.22	$181.47	$209.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $207.39 / $831.70	Professional		$154.25	$207.39	$831.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $429.99 / $972.13	Professional		$170.25	$429.99	$972.13
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 $513.91 / $761.60 / $1,149.77	Professional		$513.91	$761.60	$1,149.77