Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,818.38 / $8,511.38	Facility		$151.36	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $251.19	Professional		$158.49	$181.97	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $154.88	Professional		$109.65	$125.89	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $239.88	Facility		$138.04	$199.53	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $239.88	Professional		$162.18	$204.17	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $269.15 / $269.15	Facility		$34.67	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $741.31	Professional		$169.82	$302.00	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $331.13	Professional		$162.18	$251.19	$331.13