Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $787.00 / $5,320.00	Facility		$132.86	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $558.66 / $817.25	Professional		$126.82	$558.66	$817.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $624.58 / $875.82	Professional		$132.47	$624.58	$875.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $169.09 / $195.05	Facility		$122.95	$169.09	$195.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $174.05 / $793.45	Professional		$131.56	$174.05	$793.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $222.24 / $222.24	Facility		$222.24	$222.24	$222.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $556.34 / $1,232.54	Professional		$147.22	$556.34	$1,232.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $632.85	Professional		$32.34	$32.34	$632.85
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $990.61 / $1,306.96	Professional		$637.54	$990.61	$1,306.96