Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.39 / $469.05 / $2,747.00	Facility		$175.39	$469.05	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $280.37 / $591.64	Professional		$175.70	$280.37	$591.64
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 $144.75 / $278.13 / $455.37	Professional		$144.75	$278.13	$455.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.99 / $270.72 / $312.27	Facility		$184.99	$270.72	$312.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $280.39 / $724.01	Professional		$212.99	$280.39	$724.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.30 / $355.80 / $355.80	Facility		$220.30	$355.80	$355.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $380.50 / $900.05	Professional		$215.16	$380.50	$900.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $630.86	Professional		$32.34	$32.34	$630.86
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 $361.20 / $521.45 / $852.97	Professional		$361.20	$521.45	$852.97