Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.50 / $217.48 / $8,229.00	Facility		$155.50	$217.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $179.11 / $227.88	Professional		$155.50	$179.11	$227.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $181.46 / $256.42	Professional		$149.52	$181.46	$256.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.35 / $206.60 / $238.32	Facility		$151.35	$206.60	$238.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $206.60 / $295.14	Professional		$144.25	$206.60	$295.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $181.54 / $259.52	Facility		$181.54	$181.54	$259.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $231.11 / $372.98	Professional		$186.53	$231.11	$372.98
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 $160.46 / $236.84 / $338.67	Professional		$160.46	$236.84	$338.67