Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $274.24 / $8,229.00	Facility		$123.59	$274.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $203.47 / $275.88	Professional		$123.59	$203.47	$275.88
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 $106.23 / $154.44 / $267.37	Professional		$106.23	$154.44	$267.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $164.71 / $190.00	Facility		$120.00	$164.71	$190.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.29 / $170.59 / $294.07	Professional		$129.29	$170.59	$294.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $216.48 / $216.48	Facility		$216.48	$216.48	$216.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $210.06 / $375.49	Professional		$131.26	$210.06	$375.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $219.60	Professional		$32.34	$32.34	$219.60
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 $188.41 / $245.28 / $403.86	Professional		$188.41	$245.28	$403.86