Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.13 / $385.26 / $3,740.00	Facility		$215.13	$385.26	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $253.90 / $348.26	Professional		$184.74	$253.90	$348.26
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 $169.52 / $205.42 / $344.40	Professional		$169.52	$205.42	$344.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.35 / $257.14 / $302.51	Facility		$187.35	$257.14	$302.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $266.58 / $425.41	Professional		$189.07	$266.58	$425.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.16 / $233.51 / $347.89	Facility		$164.16	$233.51	$347.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $304.72 / $961.98	Professional		$201.63	$304.72	$961.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.52	Professional		$32.34	$32.34	$179.52
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 $243.85 / $316.86 / $471.13	Professional		$243.85	$316.86	$471.13