Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.66 / $787.00 / $8,229.00	Facility		$119.66	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $124.64 / $159.36	Professional		$119.66	$124.64	$159.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $147.71 / $226.70	Professional		$121.33	$147.71	$226.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $167.58 / $191.52	Facility		$117.55	$167.58	$191.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $167.58 / $239.40	Professional		$130.18	$167.58	$239.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $155.82	Facility		$147.13	$147.13	$155.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $199.42 / $306.79	Professional		$134.97	$199.42	$306.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.05	Professional		$32.34	$32.34	$132.05
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $172.94 / $252.25	Professional		$124.70	$172.94	$252.25