Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.29 / $400.00 / $8,229.00	Facility		$212.29	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $275.29 / $422.65	Professional		$212.29	$275.29	$422.65
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 $185.21 / $273.50 / $402.97	Professional		$185.21	$273.50	$402.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.33 / $287.31 / $331.44	Facility		$209.33	$287.31	$331.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $297.57 / $461.75	Professional		$200.60	$297.57	$461.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.60 / $377.60 / $377.60	Facility		$377.60	$377.60	$377.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $335.97 / $555.39	Professional		$226.77	$335.97	$555.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $346.82	Professional		$32.34	$32.34	$346.82
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 $293.08 / $379.73 / $637.90	Professional		$293.08	$379.73	$637.90