Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.24 / $988.00 / $8,229.00	Facility		$236.24	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $242.27 / $301.73	Professional		$225.68	$242.27	$301.73
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 $323.00 / $386.46 / $562.96	Professional		$323.00	$386.46	$562.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.12 / $313.11 / $361.19	Facility		$228.12	$313.11	$361.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.41 / $313.11 / $447.30	Professional		$203.41	$313.11	$447.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $289.33 / $479.44	Professional		$230.85	$289.33	$479.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $75.00	Professional		$45.00	$45.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,700.00 / $6,486.14	Facility		$502.00	$1,700.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $304.02 / $468.25	Professional		$219.25	$304.02	$468.25