Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $184.57 / $3,740.00	Facility		$147.69	$184.57	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $149.44 / $173.14	Professional		$143.26	$149.44	$173.14
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 $116.90 / $141.66 / $212.96	Professional		$116.90	$141.66	$212.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.90 / $202.75 / $233.89	Facility		$148.90	$202.75	$233.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $204.20 / $325.85	Professional		$159.30	$204.20	$325.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $266.47 / $266.47	Facility		$168.44	$266.47	$266.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.85 / $207.21 / $304.64	Professional		$147.85	$207.21	$304.64
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 $142.08 / $187.78 / $327.00	Professional		$142.08	$187.78	$327.00