Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $637.00 / $2,747.00	Facility		$137.71	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $158.02 / $216.90	Professional		$137.71	$158.02	$216.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $174.95 / $250.45	Professional		$146.82	$174.95	$250.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $222.52 / $278.14	Facility		$152.63	$222.52	$278.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $222.52 / $317.88	Professional		$158.94	$222.52	$317.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $268.06	Facility		$195.23	$195.23	$268.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $243.82 / $358.21	Professional		$178.12	$243.82	$358.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.62	Professional		$32.34	$32.34	$206.62
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 $164.03 / $226.81 / $312.62	Professional		$164.03	$226.81	$312.62