Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.42 / $383.35 / $3,740.00	Facility		$218.42	$383.35	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.42 / $248.36 / $376.31	Professional		$218.42	$248.36	$376.31
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 $161.44 / $195.64 / $365.44	Professional		$161.44	$195.64	$365.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $300.02 / $346.10	Facility		$213.54	$300.02	$346.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.74 / $300.02 / $474.58	Professional		$235.74	$300.02	$474.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.47 / $394.33 / $394.33	Facility		$377.47	$394.33	$394.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $368.00 / $549.65	Professional		$268.45	$368.00	$549.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.30 / $261.02	Professional		$32.34	$100.30	$261.02
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 $258.50 / $357.63 / $542.57	Professional		$258.50	$357.63	$542.57