Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.77 / $508.72 / $5,320.00	Facility		$208.77	$508.72	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $320.45 / $506.86	Professional		$223.40	$320.45	$506.86
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 $167.53 / $206.14 / $365.58	Professional		$167.53	$206.14	$365.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $326.54 / $376.68	Facility		$231.78	$326.54	$376.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.99 / $328.87 / $524.79	Professional		$227.99	$328.87	$524.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.16 / $429.16 / $500.92	Facility		$429.16	$429.16	$500.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.85 / $426.58 / $737.87	Professional		$294.85	$426.58	$737.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.74 / $372.97	Professional		$32.34	$108.74	$372.97
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $458.21 / $721.52	Professional		$332.15	$458.21	$721.52