Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.17 / $322.24 / $3,740.00	Facility		$221.17	$322.24	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $242.41 / $300.85	Professional		$196.13	$242.41	$300.85
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 $155.80 / $188.80 / $287.19	Professional		$155.80	$188.80	$287.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.66 / $269.01 / $316.48	Facility		$168.66	$269.01	$316.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.81 / $276.92 / $441.56	Professional		$215.81	$276.92	$441.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $279.61 / $363.95	Facility		$134.93	$279.61	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $267.57 / $1,018.08	Professional		$184.48	$267.57	$1,018.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.48	Professional		$32.34	$32.34	$121.48
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $257.23 / $425.17	Professional		$199.79	$257.23	$425.17