Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.54 / $399.77 / $8,229.00	Facility		$204.54	$399.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $285.45 / $399.77	Professional		$204.54	$285.45	$399.77
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 $159.02 / $234.57 / $405.62	Professional		$159.02	$234.57	$405.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.02 / $275.91 / $318.29	Facility		$201.02	$275.91	$318.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.65 / $285.77 / $443.43	Professional		$192.65	$285.77	$443.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $362.63 / $362.63	Facility		$362.63	$362.63	$362.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $323.99 / $588.88	Professional		$217.57	$323.99	$588.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $322.88	Professional		$32.34	$32.34	$322.88
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.57 / $377.30 / $636.61	Professional		$284.57	$377.30	$636.61