Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $382.62 / $3,740.00	Facility		$169.62	$382.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $188.72 / $229.79	Professional		$164.86	$188.72	$229.79
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 $145.09 / $189.75 / $289.02	Professional		$145.09	$189.75	$289.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $215.88 / $249.03	Facility		$158.13	$215.88	$249.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $217.42 / $346.95	Professional		$177.33	$217.42	$346.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $283.73 / $283.73	Facility		$208.93	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $250.74 / $396.84	Professional		$178.50	$250.74	$396.84
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 $165.98 / $247.21 / $360.88	Professional		$165.98	$247.21	$360.88