Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.06 / $637.00 / $8,229.00	Facility		$185.06	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $191.96 / $270.57	Professional		$174.74	$191.96	$270.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $186.31 / $272.39	Professional		$153.74	$186.31	$272.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $250.07 / $288.48	Facility		$182.20	$250.07	$288.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $250.07 / $357.24	Professional		$196.44	$250.07	$357.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $221.71 / $221.71	Facility		$221.71	$221.71	$221.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $242.23 / $360.58	Professional		$183.30	$242.23	$360.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.48	Professional		$32.34	$32.34	$196.48
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 $167.45 / $228.97 / $369.41	Professional		$167.45	$228.97	$369.41