Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.06 / $416.00 / $8,229.00	Facility		$270.06	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.06 / $353.28 / $505.97	Professional		$270.06	$353.28	$505.97
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 $218.50 / $321.26 / $511.33	Professional		$218.50	$321.26	$511.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $368.09 / $424.61	Facility		$268.18	$368.09	$424.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $374.02 / $591.57	Professional		$288.55	$374.02	$591.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.77 / $483.77 / $483.77	Facility		$483.77	$483.77	$483.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $418.63 / $724.95	Professional		$290.20	$418.63	$724.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $415.28	Professional		$32.34	$32.34	$415.28
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $462.69 / $782.70	Professional		$345.20	$462.69	$782.70