Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.89 / $787.00 / $5,320.00	Facility		$171.89	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $198.22 / $269.08	Professional		$171.89	$198.22	$269.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,257.00 / $4,066.00	Facility		$1,258.00	$2,257.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $220.13 / $321.10	Professional		$179.80	$220.13	$321.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $277.27 / $346.59	Facility		$190.18	$277.27	$346.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $277.27 / $396.10	Professional		$217.86	$277.27	$396.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $332.56	Facility		$242.82	$242.82	$332.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $303.56 / $454.10	Professional		$221.24	$303.56	$454.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.47	Professional		$32.34	$32.34	$257.47
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $288.89 / $412.47	Professional		$212.83	$288.89	$412.47