Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $214.90 / $3,740.00	Facility		$151.56	$214.90	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $195.79 / $278.29	Professional		$139.79	$195.79	$278.29
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 $120.90 / $146.51 / $234.30	Professional		$120.90	$146.51	$234.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $207.17 / $238.98	Facility		$151.91	$207.17	$238.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $214.57 / $383.60	Professional		$162.54	$214.57	$383.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $272.27 / $272.27	Facility		$208.93	$272.27	$272.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $236.89 / $400.46	Professional		$159.86	$236.89	$400.46
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $263.39 / $428.57	Professional		$176.21	$263.39	$428.57