Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $416.00 / $3,740.00	Facility		$168.77	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $245.69 / $326.29	Professional		$163.99	$245.69	$326.29
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 $116.39 / $141.05 / $219.52	Professional		$116.39	$141.05	$219.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $207.80 / $237.49	Facility		$148.16	$207.80	$237.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $215.22 / $334.24	Professional		$162.62	$215.22	$334.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $273.11 / $379.02	Facility		$174.38	$273.11	$379.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $246.04 / $768.65	Professional		$157.38	$246.04	$768.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.87	Professional		$32.34	$32.34	$73.87
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 $199.58 / $261.41 / $437.47	Professional		$199.58	$261.41	$437.47