Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.49 / $787.00 / $8,229.00	Facility		$173.49	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $195.00 / $255.53	Professional		$183.67	$195.00	$255.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $170.00 / $275.80	Professional		$140.29	$170.00	$275.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $258.69 / $298.41	Facility		$190.22	$258.69	$298.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $258.69 / $369.56	Professional		$180.62	$258.69	$369.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $234.88 / $234.88	Facility		$175.25	$234.88	$234.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $261.68 / $424.98	Professional		$190.62	$261.68	$424.98
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 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $246.79 / $362.07	Professional		$171.14	$246.79	$362.07