Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.95 / $787.00 / $3,740.00	Facility		$196.95	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $233.05 / $306.38	Professional		$196.95	$233.05	$306.38
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 $213.05 / $258.14 / $374.13	Professional		$213.05	$258.14	$374.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $317.38 / $396.73	Facility		$217.82	$317.38	$396.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $306.95 / $453.40	Professional		$226.70	$306.95	$453.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $278.58 / $378.66	Facility		$278.58	$278.58	$378.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $355.13 / $517.19	Professional		$253.60	$355.13	$517.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.70	Professional		$32.34	$32.34	$294.70
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 $245.81 / $337.47 / $454.75	Professional		$245.81	$337.47	$454.75