Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $637.00 / $8,229.00	Facility		$117.76	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $138.29 / $193.96	Professional		$117.76	$138.29	$193.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $164.68 / $226.43	Professional		$133.37	$164.68	$226.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.20 / $155.37 / $179.23	Facility		$113.20	$155.37	$179.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $155.37 / $221.96	Professional		$110.98	$155.37	$221.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $137.06 / $174.31	Facility		$137.06	$137.06	$174.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $202.56 / $348.10	Professional		$124.92	$202.56	$348.10
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 / $15,075.00	Facility		$973.00	$4,639.00	$15,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $214.80 / $279.06	Professional		$128.88	$214.80	$279.06