Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $787.00 / $8,229.00	Facility		$176.55	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $188.85 / $235.90	Professional		$176.55	$188.85	$235.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $205.32 / $323.32	Professional		$169.43	$205.32	$323.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $241.01 / $275.44	Facility		$168.02	$241.01	$275.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $241.01 / $344.30	Professional		$168.28	$241.01	$344.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $210.83 / $210.83	Facility		$195.39	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $277.75 / $400.55	Professional		$186.08	$277.75	$400.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.52	Professional		$32.34	$32.34	$189.52
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $256.63 / $392.19	Professional		$183.61	$256.63	$392.19