Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $637.00 / $8,229.00	Facility		$191.02	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.02 / $195.51 / $244.51	Professional		$191.02	$195.51	$244.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $225.65 / $303.93	Professional		$191.80	$225.65	$303.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $256.95 / $256.95	Facility		$256.95	$256.95	$256.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.66 / $226.66 / $226.66	Facility		$226.66	$226.66	$226.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $316.02 / $512.44	Professional		$198.84	$316.02	$512.44
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $321.92 / $408.69	Professional		$203.99	$321.92	$408.69