Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $335.08 / $3,740.00	Facility		$161.47	$335.08	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $207.04 / $265.22	Professional		$161.47	$207.04	$265.22
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 $137.97 / $173.97 / $300.93	Professional		$137.97	$173.97	$300.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $223.50 / $257.81	Facility		$163.47	$223.50	$257.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $231.48 / $359.19	Professional		$189.97	$231.48	$359.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $293.74 / $293.74	Facility		$174.39	$293.74	$293.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $259.42 / $447.46	Professional		$174.39	$259.42	$447.46
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 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.89 / $273.83 / $412.87	Professional		$182.89	$273.83	$412.87