Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $787.00 / $8,229.00	Facility		$185.31	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $185.31 / $230.07	Professional		$178.27	$185.31	$230.07
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 $166.84 / $202.18 / $294.10	Professional		$166.84	$202.18	$294.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $251.75 / $290.42	Facility		$184.03	$251.75	$290.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $251.75 / $359.64	Professional		$202.50	$251.75	$359.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $220.27 / $232.38	Facility		$220.27	$220.27	$232.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $272.45 / $423.19	Professional		$197.05	$272.45	$423.19
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $256.04 / $374.46	Professional		$168.86	$256.04	$374.46