Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.08 / $787.00 / $8,229.00	Facility		$148.08	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $148.08 / $170.20	Professional		$143.38	$148.08	$170.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $191.16 / $264.50	Professional		$157.75	$191.16	$264.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.55 / $230.26 / $265.62	Facility		$169.55	$230.26	$265.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $230.26 / $328.94	Professional		$177.22	$230.26	$328.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.32 / $203.48 / $203.48	Facility		$199.32	$203.48	$203.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $232.08 / $389.44	Professional		$176.43	$232.08	$389.44
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $240.16 / $347.53	Professional		$161.41	$240.16	$347.53