Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $402.73 / $3,740.00	Facility		$143.56	$402.73	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $233.18 / $287.48	Professional		$141.88	$233.18	$287.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $210.35 / $337.58	Professional		$138.97	$210.35	$337.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $182.71 / $210.77	Facility		$133.12	$182.71	$210.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.31 / $206.88 / $306.07	Professional		$155.31	$206.88	$306.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.14 / $240.14 / $240.14	Facility		$240.14	$240.14	$240.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $289.30 / $569.30	Professional		$161.06	$289.30	$569.30
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $361.69 / $459.44	Professional		$232.46	$361.69	$459.44