Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $637.00 / $8,229.00	Facility		$176.29	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $183.64 / $189.58	Professional		$173.69	$183.64	$189.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $172.26 / $299.32	Professional		$146.41	$172.26	$299.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.90 / $241.43 / $278.50	Facility		$175.90	$241.43	$278.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $241.43 / $344.90	Professional		$168.57	$241.43	$344.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.45 / $214.45 / $214.45	Facility		$214.45	$214.45	$214.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $275.79 / $408.48	Professional		$191.17	$275.79	$408.48
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $263.07 / $389.21	Professional		$185.30	$263.07	$389.21