Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.53 / $304.23 / $8,229.00	Facility		$154.53	$304.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $234.97 / $304.61	Professional		$156.11	$234.97	$304.61
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 $152.60 / $202.81 / $329.02	Professional		$152.60	$202.81	$329.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $206.57 / $238.30	Facility		$150.50	$206.57	$238.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $213.95 / $331.99	Professional		$161.82	$213.95	$331.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $271.49 / $271.49	Facility		$271.49	$271.49	$271.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $261.35 / $488.25	Professional		$172.12	$261.35	$488.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.94	Professional		$32.34	$32.34	$245.94
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 $233.24 / $310.79 / $491.68	Professional		$233.24	$310.79	$491.68