Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $787.00 / $9,311.00	Facility		$162.47	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $185.30 / $243.06	Professional		$162.47	$185.30	$243.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $194.60 / $262.08	Professional		$163.47	$194.60	$262.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $213.95 / $246.81	Facility		$156.59	$213.95	$246.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $213.95 / $305.64	Professional		$167.29	$213.95	$305.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $189.44 / $262.14	Facility		$189.44	$189.44	$262.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $259.56 / $397.03	Professional		$202.51	$259.56	$397.03
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $250.86 / $335.32	Professional		$172.34	$250.86	$335.32