Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.45 / $438.50 / $8,229.00	Facility		$238.45	$438.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.45 / $334.99 / $458.64	Professional		$238.45	$334.99	$458.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $272.93 / $447.26	Professional		$183.08	$272.93	$447.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.05 / $319.87 / $369.00	Facility		$233.05	$319.87	$369.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.39 / $331.30 / $514.08	Professional		$251.39	$331.30	$514.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $420.40 / $420.40	Facility		$420.40	$420.40	$420.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $360.30 / $628.48	Professional		$251.87	$360.30	$628.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.99	Professional		$32.34	$32.34	$353.99
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $402.47 / $654.92	Professional		$304.33	$402.47	$654.92