Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.22 / $787.00 / $8,229.00	Facility		$166.22	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $187.44 / $262.79	Professional		$137.33	$187.44	$262.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $121.64 / $208.88	Professional		$100.37	$121.64	$208.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $210.26 / $251.54	Facility		$153.78	$210.26	$251.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $210.26 / $311.50	Professional		$152.25	$210.26	$311.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $193.75 / $193.75	Facility		$130.99	$193.75	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $177.28 / $326.22	Professional		$129.88	$177.28	$326.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $202.48	Professional		$32.34	$32.34	$202.48
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $3,176.00	Facility		$59.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $184.84 / $329.69	Professional		$137.00	$184.84	$329.69