Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $259.25 / $3,740.00	Facility		$106.48	$259.25	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $152.16 / $207.75	Professional		$120.11	$152.16	$207.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $119.24 / $173.55	Professional		$101.35	$119.24	$173.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $171.11 / $201.92	Facility		$116.48	$171.11	$201.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $180.99 / $275.00	Professional		$134.63	$180.99	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $224.88	Facility		$224.88	$224.88	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $221.57 / $329.79	Professional		$147.06	$221.57	$329.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.47 / $180.94	Professional		$32.34	$82.47	$180.94
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 $160.41 / $233.12 / $313.42	Professional		$160.41	$233.12	$313.42