Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $787.00 / $3,740.00	Facility		$143.37	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $170.68 / $226.48	Professional		$154.69	$170.68	$226.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $186.06 / $278.10	Professional		$151.74	$186.06	$278.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $229.42 / $286.77	Facility		$161.60	$229.42	$286.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $229.42 / $327.74	Professional		$178.83	$229.42	$327.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $279.91	Facility		$202.08	$202.08	$279.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $261.01 / $387.90	Professional		$184.79	$261.01	$387.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $213.03	Professional		$32.34	$32.34	$213.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $243.63 / $331.48	Professional		$172.22	$243.63	$331.48