Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $255.80 / $3,740.00	Facility		$177.07	$255.80	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $196.26 / $236.15	Professional		$160.30	$196.26	$236.15
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 $145.49 / $192.71 / $291.42	Professional		$145.49	$192.71	$291.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.71 / $238.34 / $274.93	Facility		$174.71	$238.34	$274.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $246.85 / $383.04	Professional		$202.59	$246.85	$383.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.84 / $313.24 / $313.24	Facility		$211.84	$313.24	$313.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $254.10 / $410.28	Professional		$181.57	$254.10	$410.28
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 $177.02 / $275.18 / $445.51	Professional		$177.02	$275.18	$445.51