Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $787.00 / $7,963.63	Facility		$183.18	$787.00	$7,963.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $288.50 / $420.35	Professional		$149.97	$288.50	$420.35
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 $140.93 / $251.64 / $486.34	Professional		$140.93	$251.64	$486.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $195.73 / $230.69	Facility		$139.81	$195.73	$230.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $308.23 / $388.64	Professional		$181.75	$308.23	$388.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $257.25 / $257.25	Facility		$246.02	$257.25	$257.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $303.44 / $565.08	Professional		$174.16	$303.44	$565.08
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.42 / $362.70 / $540.01	Professional		$247.42	$362.70	$540.01