Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.57 / $637.00 / $4,647.22	Facility		$226.57	$637.00	$4,647.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $260.14 / $339.30	Professional		$226.57	$260.14	$339.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.42 / $265.20 / $369.80	Professional		$225.42	$265.20	$369.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.59 / $303.07 / $349.62	Facility		$222.59	$303.07	$349.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $303.07 / $487.08	Professional		$211.61	$303.07	$487.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.29 / $266.29 / $295.68	Facility		$266.29	$266.29	$295.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $332.19 / $563.59	Professional		$244.85	$332.19	$563.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $346.51 / $482.14	Professional		$232.11	$346.51	$482.14