Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.01 / $637.00 / $8,229.00	Facility		$135.01	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $155.53 / $199.80	Professional		$135.01	$155.53	$199.80
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 $127.07 / $156.83 / $221.09	Professional		$127.07	$156.83	$221.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $177.90 / $205.22	Facility		$130.56	$177.90	$205.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $177.90 / $254.14	Professional		$117.04	$177.90	$254.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $156.58 / $173.54	Facility		$156.58	$156.58	$173.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $196.56 / $332.97	Professional		$143.02	$196.56	$332.97
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 $138.85 / $208.42 / $289.79	Professional		$138.85	$208.42	$289.79