Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.30 / $860.00 / $8,229.00	Facility		$171.30	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $178.52 / $243.58	Professional		$159.19	$178.52	$243.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $177.11 / $452.27	Professional		$130.50	$177.11	$452.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.38 / $233.84 / $269.76	Facility		$170.38	$233.84	$269.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.01 / $233.84 / $334.06	Professional		$159.01	$233.84	$334.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $205.33 / $205.33	Facility		$205.33	$205.33	$205.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $210.06 / $330.90	Professional		$165.30	$210.06	$330.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.73	Professional		$32.34	$32.34	$183.73
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 $157.68 / $204.05 / $352.85	Professional		$157.68	$204.05	$352.85