Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $208.69 / $8,229.00	Facility		$163.38	$208.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $168.23 / $208.69	Professional		$154.49	$168.23	$208.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $170.94 / $516.01	Professional		$141.06	$170.94	$516.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $219.93 / $253.71	Facility		$160.24	$219.93	$253.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $219.93 / $314.18	Professional		$153.56	$219.93	$314.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $192.58	Facility		$192.58	$192.58	$192.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $220.22 / $334.58	Professional		$165.46	$220.22	$334.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.80	Professional		$32.34	$32.34	$172.80
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 $158.07 / $216.47 / $347.39	Professional		$158.07	$216.47	$347.39