Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $416.00 / $3,721.69	Facility		$226.19	$416.00	$3,721.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $318.61 / $555.42	Professional		$226.19	$318.61	$555.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.57 / $247.73 / $333.17	Professional		$203.57	$247.73	$333.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.46 / $336.03 / $387.64	Facility		$236.46	$336.03	$387.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.02 / $336.63 / $480.04	Professional		$264.02	$336.63	$480.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.64 / $441.64 / $441.64	Facility		$441.64	$441.64	$441.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $391.71 / $643.05	Professional		$266.73	$391.71	$643.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.15 / $366.38	Professional		$32.34	$138.15	$366.38
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $422.11 / $657.55	Professional		$306.37	$422.11	$657.55