Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $313.62 / $3,740.00	Facility		$126.28	$313.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $248.11 / $350.53	Professional		$137.12	$248.11	$350.53
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 $117.62 / $144.30 / $229.13	Professional		$117.62	$144.30	$229.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $206.53 / $243.73	Facility		$145.35	$206.53	$243.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $210.94 / $439.07	Professional		$162.27	$210.94	$439.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $271.44 / $271.44	Facility		$192.30	$271.44	$271.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $331.68 / $606.70	Professional		$176.84	$331.68	$606.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $370.64	Professional		$32.34	$32.34	$370.64
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 $292.18 / $429.96 / $693.11	Professional		$292.18	$429.96	$693.11