Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $416.00 / $3,740.00	Facility		$170.23	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $310.83 / $419.62	Professional		$165.78	$310.83	$419.62
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 $135.19 / $163.82 / $276.41	Professional		$135.19	$163.82	$276.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $209.97 / $239.97	Facility		$149.32	$209.97	$239.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $245.34 / $423.25	Professional		$172.10	$245.34	$423.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.59 / $275.95 / $515.12	Facility		$252.59	$275.95	$515.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $316.43 / $771.78	Professional		$161.10	$316.43	$771.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $81.16	Professional		$32.34	$32.34	$81.16
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 $269.63 / $357.73 / $640.74	Professional		$269.63	$357.73	$640.74