Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $787.00 / $8,229.00	Facility		$198.73	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $207.62 / $256.27	Professional		$198.73	$207.62	$256.27
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 $191.06 / $231.52 / $321.10	Professional		$191.06	$231.52	$321.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $271.99 / $313.77	Facility		$198.60	$271.99	$313.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $271.99 / $437.13	Professional		$223.42	$271.99	$437.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.65 / $237.80 / $237.80	Facility		$234.65	$237.80	$237.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.26 / $281.58 / $451.70	Professional		$202.26	$281.58	$451.70
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 $195.05 / $292.95 / $395.01	Professional		$195.05	$292.95	$395.01