Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.19 / $393.25 / $8,229.00	Facility		$210.19	$393.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.19 / $305.80 / $393.25	Professional		$210.19	$305.80	$393.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $280.29 / $441.63	Professional		$185.19	$280.29	$441.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $288.36 / $332.63	Facility		$210.08	$288.36	$332.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $292.14 / $463.43	Professional		$201.34	$292.14	$463.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $378.98 / $378.98	Facility		$378.98	$378.98	$378.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $360.82 / $651.75	Professional		$237.00	$360.82	$651.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.86	Professional		$32.34	$32.34	$324.86
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $416.69 / $651.75	Professional		$302.36	$416.69	$651.75