Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $925.55 / $9,128.46	Facility		$206.12	$925.55	$9,128.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $224.65 / $478.98	Professional		$192.76	$224.65	$478.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,508.00 / $9,461.00	Facility		$2,174.00	$4,508.00	$9,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $206.76 / $288.39	Professional		$170.62	$206.76	$288.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.16 / $274.74 / $316.92	Facility		$200.16	$274.74	$316.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $274.74 / $392.48	Professional		$191.82	$274.74	$392.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $242.90 / $242.90	Facility		$242.90	$242.90	$242.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $265.77 / $402.70	Professional		$203.13	$265.77	$402.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.86	Professional		$32.34	$32.34	$215.86
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $256.08 / $391.93	Professional		$185.19	$256.08	$391.93