Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $637.00 / $8,229.00	Facility		$195.88	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $229.26 / $314.41	Professional		$203.52	$229.26	$314.41
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 $190.42 / $227.13 / $333.92	Professional		$190.42	$227.13	$333.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.63 / $249.30 / $287.58	Facility		$181.63	$249.30	$287.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $249.30 / $356.14	Professional		$174.06	$249.30	$356.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $236.89 / $274.89	Facility		$236.89	$236.89	$274.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.21 / $308.64 / $481.04	Professional		$214.21	$308.64	$481.04
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 $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $307.06 / $419.58	Professional		$205.07	$307.06	$419.58