Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.09 / $383.93 / $5,320.00	Facility		$204.09	$383.93	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $266.48 / $394.56	Professional		$209.25	$266.48	$394.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $246.80 / $370.09	Professional		$202.20	$246.80	$370.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.72 / $315.22 / $363.64	Facility		$215.72	$315.22	$363.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $315.79 / $506.61	Professional		$225.16	$315.79	$506.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.05 / $414.29 / $414.29	Facility		$378.05	$414.29	$414.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $379.67 / $564.74	Professional		$269.64	$379.67	$564.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $381.21	Professional		$32.34	$32.34	$381.21
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 $272.64 / $383.13 / $571.02	Professional		$272.64	$383.13	$571.02