Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.61 / $787.00 / $8,229.00	Facility		$153.61	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $160.05 / $204.38	Professional		$153.61	$160.05	$204.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $155.91 / $232.83	Professional		$61.00	$155.91	$232.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $231.64 / $267.22	Facility		$168.77	$231.64	$267.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $231.64 / $372.29	Professional		$161.74	$231.64	$372.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $207.41 / $207.41	Facility		$207.41	$207.41	$207.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $282.47 / $852.85	Professional		$172.84	$282.47	$852.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
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 $156.38 / $282.56 / $390.33	Professional		$156.38	$282.56	$390.33