Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.30 / $860.00 / $8,229.00	Facility		$148.30	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $150.93 / $212.74	Professional		$139.91	$150.93	$212.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,125.00 / $14,034.00	Facility		$3,565.00	$6,125.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $144.82 / $198.70	Professional		$119.51	$144.82	$198.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $196.76 / $226.97	Facility		$143.35	$196.76	$226.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $196.76 / $281.08	Professional		$153.41	$196.76	$281.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $172.15 / $172.15	Facility		$172.15	$172.15	$172.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $208.62 / $333.27	Professional		$145.76	$208.62	$333.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.59	Professional		$32.34	$32.34	$154.59
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $212.35 / $312.38	Professional		$144.22	$212.35	$312.38