Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.77 / $410.78 / $3,740.00	Facility		$169.77	$410.78	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $252.92 / $369.43	Professional		$154.18	$252.92	$369.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $349.16 / $427.32	Professional		$191.24	$349.16	$427.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.38 / $233.38 / $233.38	Facility		$233.38	$233.38	$233.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $387.88 / $623.39	Professional		$270.83	$387.88	$623.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.05 / $240.05 / $240.05	Facility		$240.05	$240.05	$240.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.62 / $275.57 / $837.23	Professional		$204.62	$275.57	$837.23
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.73 / $552.95 / $918.77	Professional		$363.73	$552.95	$918.77