Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $771.92 / $3,740.00	Facility		$165.70	$771.92	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $165.70 / $306.54	Professional		$139.19	$165.70	$306.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $196.88 / $254.78	Professional		$162.47	$196.88	$254.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $223.83 / $263.80	Facility		$159.88	$223.83	$263.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $209.28 / $263.80	Professional		$159.88	$209.28	$263.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $196.01 / $196.01	Facility		$196.01	$196.01	$196.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $265.22 / $409.31	Professional		$177.48	$265.22	$409.31
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $269.35 / $360.27	Professional		$204.32	$269.35	$360.27