Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $787.00 / $8,229.00	Facility		$157.63	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $173.23 / $212.86	Professional		$149.97	$173.23	$212.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $172.67 / $245.31	Professional		$142.49	$172.67	$245.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.24 / $233.63 / $269.52	Facility		$171.24	$233.63	$269.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $233.63 / $333.76	Professional		$188.07	$233.63	$333.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $206.04 / $206.04	Facility		$198.73	$206.04	$206.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $231.43 / $360.24	Professional		$173.57	$231.43	$360.24
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $234.56 / $346.71	Professional		$153.06	$234.56	$346.71