Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $416.00 / $3,740.00	Facility		$133.83	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $277.93 / $375.21	Professional		$128.90	$277.93	$375.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $129.60 / $237.53	Professional		$106.95	$129.60	$237.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $166.01 / $189.73	Facility		$118.05	$166.01	$189.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $167.78 / $378.74	Professional		$118.58	$167.78	$378.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $218.19 / $475.38	Facility		$218.19	$218.19	$475.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $282.70 / $612.72	Professional		$127.05	$282.70	$612.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.99	Professional		$32.34	$32.34	$62.99
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $308.11 / $510.51	Professional		$239.63	$308.11	$510.51