Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $258.10 / $3,740.00	Facility		$141.13	$258.10	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.57 / $185.47 / $323.55	Professional		$157.57	$185.47	$323.55
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 $126.24 / $156.19 / $232.63	Professional		$126.24	$156.19	$232.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $230.33 / $271.81	Facility		$161.66	$230.33	$271.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $230.74 / $370.17	Professional		$180.02	$230.74	$370.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.63 / $302.72 / $302.72	Facility		$202.63	$302.72	$302.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $276.77 / $455.35	Professional		$184.33	$276.77	$455.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.39	Professional		$32.34	$32.34	$250.39
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 $202.96 / $308.39 / $422.34	Professional		$202.96	$308.39	$422.34