Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.25 / $787.00 / $8,229.00	Facility		$148.25	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $148.25 / $181.33	Professional		$142.30	$148.25	$181.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $161.66 / $223.80	Professional		$133.40	$161.66	$223.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $201.95 / $232.96	Facility		$147.69	$201.95	$232.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $201.95 / $288.50	Professional		$158.68	$201.95	$288.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $177.07 / $183.17	Facility		$177.07	$177.07	$183.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $213.95 / $338.78	Professional		$157.54	$213.95	$338.78
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 $134.35 / $204.72 / $299.06	Professional		$134.35	$204.72	$299.06