Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $637.00 / $8,229.00	Facility		$131.22	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $151.13 / $193.37	Professional		$131.22	$151.13	$193.37
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 $126.43 / $155.84 / $225.76	Professional		$126.43	$155.84	$225.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $174.10 / $200.85	Facility		$126.85	$174.10	$200.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $174.10 / $248.72	Professional		$136.57	$174.10	$248.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $152.87 / $174.07	Facility		$152.87	$152.87	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $208.28 / $330.37	Professional		$140.41	$208.28	$330.37
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 $140.44 / $208.24 / $282.14	Professional		$140.44	$208.24	$282.14