Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $689.35 / $3,740.00	Facility		$195.36	$689.35	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $343.47 / $517.14	Professional		$207.93	$343.47	$517.14
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 $182.52 / $236.10 / $388.02	Professional		$182.52	$236.10	$388.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.54 / $317.30 / $366.02	Facility		$222.54	$317.30	$366.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $319.56 / $539.29	Professional		$226.64	$319.56	$539.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.77 / $417.02 / $417.02	Facility		$331.77	$417.02	$417.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $458.63 / $856.17	Professional		$266.92	$458.63	$856.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $131.99 / $444.80	Professional		$32.34	$131.99	$444.80
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $560.92 / $766.84	Professional		$391.23	$560.92	$766.84