Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $1,654.00 / $9,311.00	Facility		$188.99	$1,654.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.07 / $196.09 / $307.44	Professional		$167.07	$196.09	$307.44
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 $149.86 / $181.60 / $264.39	Professional		$149.86	$181.60	$264.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.29 / $255.70 / $294.95	Facility		$186.29	$255.70	$294.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.64 / $255.70 / $365.28	Professional		$182.64	$255.70	$365.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $226.54 / $226.54	Facility		$226.54	$226.54	$226.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.07 / $244.98 / $364.18	Professional		$187.07	$244.98	$364.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $200.90	Professional		$32.34	$32.34	$200.90
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 $173.35 / $228.01 / $358.86	Professional		$173.35	$228.01	$358.86