Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.37 / $250.50 / $3,740.00	Facility		$117.37	$250.50	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $157.53 / $241.86	Professional		$103.29	$157.53	$241.86
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 $82.05 / $99.42 / $168.20	Professional		$82.05	$99.42	$168.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $159.63 / $184.15	Facility		$117.16	$159.63	$184.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $187.46 / $326.20	Professional		$135.68	$187.46	$326.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $209.80 / $209.80	Facility		$159.11	$209.80	$209.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $185.76 / $343.36	Professional		$117.35	$185.76	$343.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $152.38 / $221.76 / $361.02	Professional		$152.38	$221.76	$361.02