Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $787.00 / $8,229.00	Facility		$112.77	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $123.92 / $136.88	Professional		$112.40	$123.92	$136.88
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 $115.26 / $139.66 / $187.80	Professional		$115.26	$139.66	$187.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $168.97 / $194.92	Facility		$123.59	$168.97	$194.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $168.97 / $241.38	Professional		$138.79	$168.97	$241.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $148.69 / $149.34	Facility		$148.69	$148.69	$149.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $183.79 / $286.98	Professional		$128.61	$183.79	$286.98
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 $123.81 / $186.48 / $266.25	Professional		$123.81	$186.48	$266.25