Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.36 / $860.00 / $10,152.00	Facility		$185.36	$860.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $193.08 / $198.46	Professional		$174.14	$193.08	$198.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $253.37 / $353.70	Professional		$189.17	$253.37	$353.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.45 / $261.32 / $301.45	Facility		$191.45	$261.32	$301.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $261.32 / $373.32	Professional		$186.66	$261.32	$373.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $229.84 / $302.75	Facility		$229.84	$229.84	$302.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.11 / $343.63 / $567.54	Professional		$209.11	$343.63	$567.54
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $340.79 / $485.61	Professional		$202.97	$340.79	$485.61