Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $365.39 / $8,229.00	Facility		$182.70	$365.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $240.18 / $365.39	Professional		$180.55	$240.18	$365.39
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 $118.19 / $173.42 / $299.50	Professional		$118.19	$173.42	$299.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $239.25 / $275.99	Facility		$174.31	$239.25	$275.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $240.95 / $391.68	Professional		$188.83	$240.95	$391.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $314.44 / $314.44	Facility		$314.44	$314.44	$314.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $256.89 / $460.76	Professional		$162.94	$256.89	$460.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $289.08	Professional		$32.34	$32.34	$289.08
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 $205.91 / $289.70 / $558.44	Professional		$205.91	$289.70	$558.44