Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $909.00 / $3,740.00	Facility		$193.52	$909.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $193.52 / $307.17	Professional		$168.19	$193.52	$307.17
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 $157.43 / $190.78 / $283.50	Professional		$157.43	$190.78	$283.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $260.47 / $300.47	Facility		$191.04	$260.47	$300.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $260.47 / $372.10	Professional		$213.96	$260.47	$372.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.80 / $230.08 / $230.08	Facility		$197.80	$230.08	$230.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $254.42 / $400.09	Professional		$192.71	$254.42	$400.09
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $260.07 / $393.03	Professional		$169.11	$260.07	$393.03