Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.73 / $787.00 / $8,229.00	Facility		$175.73	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $193.11 / $207.62	Professional		$168.50	$193.11	$207.62
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 $161.81 / $196.08 / $291.00	Professional		$161.81	$196.08	$291.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $259.50 / $299.36	Facility		$190.13	$259.50	$299.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $259.50 / $370.72	Professional		$213.16	$259.50	$370.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $229.60 / $230.90	Facility		$229.60	$229.60	$230.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $260.42 / $396.32	Professional		$195.49	$260.42	$396.32
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 $173.82 / $263.86 / $386.78	Professional		$173.82	$263.86	$386.78