Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.24 / $663.39 / $6,833.12	Facility		$170.24	$663.39	$6,833.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $337.90 / $525.25	Professional		$140.12	$337.90	$525.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $325.24 / $483.07	Professional		$123.47	$325.24	$483.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $182.11 / $210.08	Facility		$132.69	$182.11	$210.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $208.13 / $480.89	Professional		$141.99	$208.13	$480.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $308.02	Facility		$239.35	$239.35	$308.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $417.55 / $804.08	Professional		$145.97	$417.55	$804.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.88 / $594.64 / $749.85	Professional		$373.88	$594.64	$749.85