Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.47 / $252.76 / $8,229.00	Facility		$167.47	$252.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $167.47 / $192.50	Professional		$162.36	$167.47	$192.50
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 $175.15 / $212.25 / $318.50	Professional		$175.15	$212.25	$318.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $260.33 / $300.33	Facility		$191.70	$260.33	$300.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.88 / $260.33 / $371.92	Professional		$199.88	$260.33	$371.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.39 / $230.39 / $249.08	Facility		$230.39	$230.39	$249.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $279.61 / $474.60	Professional		$199.19	$279.61	$474.60
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 $182.69 / $274.04 / $394.12	Professional		$182.69	$274.04	$394.12