Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.76 / $554.51 / $5,320.00	Facility		$237.76	$554.51	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $363.62 / $554.51	Professional		$252.40	$363.62	$554.51
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 $198.89 / $241.57 / $440.21	Professional		$198.89	$241.57	$440.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.79 / $371.70 / $428.79	Facility		$262.79	$371.70	$428.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.52 / $376.27 / $597.38	Professional		$259.52	$376.27	$597.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $488.63	Facility		$488.52	$488.52	$488.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $469.68 / $814.87	Professional		$324.80	$469.68	$814.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $121.14 / $423.42	Professional		$32.34	$121.14	$423.42
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 $379.19 / $502.86 / $805.15	Professional		$379.19	$502.86	$805.15