Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $787.00 / $8,229.00	Facility		$145.47	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $150.38 / $195.37	Professional		$145.47	$150.38	$195.37
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 $133.02 / $161.19 / $296.79	Professional		$133.02	$161.19	$296.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $191.76 / $221.20	Facility		$139.69	$191.76	$221.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $191.76 / $273.94	Professional		$133.88	$191.76	$273.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $182.40	Facility		$168.46	$168.46	$182.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $221.08 / $332.55	Professional		$143.58	$221.08	$332.55
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 $141.93 / $204.14 / $303.89	Professional		$141.93	$204.14	$303.89