Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $988.00 / $3,740.00	Facility		$252.93	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $310.20 / $2,142.54	Professional		$162.58	$310.20	$2,142.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $125.45 / $238.85	Professional		$103.53	$125.45	$238.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.52 / $422.72 / $498.83	Facility		$296.52	$422.72	$498.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $425.74 / $2,721.40	Professional		$301.94	$425.74	$2,721.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.55 / $555.57 / $555.57	Facility		$253.55	$555.57	$555.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $295.52 / $2,562.21	Professional		$168.74	$295.52	$2,562.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.10 / $1,943.85	Professional		$32.34	$57.10	$1,943.85
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $20,161.00	Facility		$973.00	$4,639.00	$20,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $1,537.42 / $3,042.30	Professional		$215.64	$1,537.42	$3,042.30