Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.60 / $400.00 / $8,229.00	Facility		$190.60	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $264.48 / $422.05	Professional		$190.60	$264.48	$422.05
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 $146.94 / $219.92 / $380.00	Professional		$146.94	$219.92	$380.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $260.02 / $299.95	Facility		$189.44	$260.02	$299.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $269.31 / $451.21	Professional		$181.55	$269.31	$451.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $341.74 / $341.74	Facility		$341.74	$341.74	$341.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $302.35 / $535.69	Professional		$192.64	$302.35	$535.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.41	Professional		$32.34	$32.34	$344.41
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 $274.56 / $353.99 / $633.64	Professional		$274.56	$353.99	$633.64