Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.32 / $787.00 / $3,740.00	Facility		$205.32	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $209.50 / $323.37	Professional		$180.68	$209.50	$323.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $3,684.00 / $8,800.00	Facility		$1,830.00	$3,684.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $206.95 / $270.95	Professional		$153.18	$206.95	$270.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.01 / $267.31 / $308.99	Facility		$198.01	$267.31	$308.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $257.41 / $396.02	Professional		$198.01	$257.41	$396.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.50 / $243.50 / $243.50	Facility		$243.50	$243.50	$243.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $190.88 / $190.88 / $190.88	Facility	52	$190.88	$190.88	$190.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	AS	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $249.83 / $456.99	Professional		$189.62	$249.83	$456.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.41	Professional		$32.34	$32.34	$257.41
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.66 / $258.51 / $450.97	Professional		$199.66	$258.51	$450.97