Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.74 / $315.52 / $8,229.00	Facility		$171.74	$315.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $227.99 / $315.52	Professional		$167.28	$227.99	$315.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $206.15 / $316.87	Professional		$150.28	$206.15	$316.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $230.38 / $265.77	Facility		$167.86	$230.38	$265.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $238.61 / $370.26	Professional		$180.71	$238.61	$370.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $302.79 / $302.79	Facility		$302.79	$302.79	$302.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $261.63 / $460.27	Professional		$179.26	$261.63	$460.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $254.03	Professional		$32.34	$32.34	$254.03
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $295.49 / $474.33	Professional		$218.96	$295.49	$474.33