Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.28 / $787.00 / $8,229.00	Facility		$118.28	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $123.71 / $152.91	Professional		$118.28	$123.71	$152.91
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 $116.59 / $141.29 / $267.24	Professional		$116.59	$141.29	$267.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $162.37 / $187.30	Facility		$118.32	$162.37	$187.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $162.37 / $260.95	Professional		$133.38	$162.37	$260.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $142.54 / $142.54	Facility		$121.52	$142.54	$142.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $188.70 / $309.38	Professional		$121.52	$188.70	$309.38
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $178.92 / $261.54	Professional		$123.55	$178.92	$261.54