Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.74 / $896.00 / $8,229.00	Facility		$229.74	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $265.14 / $353.64	Professional		$229.74	$265.14	$353.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,045.00 / $11,433.00	Facility		$2,320.00	$4,045.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $287.55 / $419.80	Professional		$242.52	$287.55	$419.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.52 / $353.60 / $442.00	Facility		$242.52	$353.60	$442.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $341.75 / $505.14	Professional		$277.83	$341.75	$505.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $348.22	Facility		$310.14	$310.14	$348.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $394.28 / $587.01	Professional		$278.94	$394.28	$587.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.34	Professional		$32.34	$32.34	$328.34
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 $265.86 / $383.60 / $554.33	Professional		$265.86	$383.60	$554.33