Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.64 / $380.74 / $3,740.00	Facility		$214.64	$380.74	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $301.85 / $389.17	Professional		$236.42	$301.85	$389.17
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 $212.98 / $271.07 / $363.19	Professional		$212.98	$271.07	$363.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.42 / $336.11 / $387.73	Facility		$238.42	$336.11	$387.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $336.71 / $540.17	Professional		$234.68	$336.71	$540.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.72 / $441.75 / $441.75	Facility		$255.72	$441.75	$441.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $430.67 / $714.92	Professional		$279.20	$430.67	$714.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.95 / $367.38	Professional		$32.34	$144.95	$367.38
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.10 / $443.20 / $719.01	Professional		$325.10	$443.20	$719.01