Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $193.21 / $223.32	Facility		$174.98	$193.21	$223.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $199.04 / $328.08	Professional		$174.98	$199.04	$328.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $195.48 / $296.94	Professional		$166.15	$195.48	$296.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $284.23 / $327.88	Facility		$210.44	$284.23	$327.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $284.23 / $406.04	Professional		$225.17	$284.23	$406.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.39 / $250.39 / $250.39	Facility		$250.39	$250.39	$250.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $24.61 / $24.61 / $24.61	Facility	AS	$24.61	$24.61	$24.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $288.89 / $456.75	Professional		$212.02	$288.89	$456.75
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 $206.22 / $287.62 / $423.28	Professional		$206.22	$287.62	$423.28