Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.33 / $402.28 / $8,229.00	Facility		$248.33	$402.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $314.95 / $402.28	Professional		$248.33	$314.95	$402.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $293.83 / $423.20	Professional		$230.23	$293.83	$423.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $333.05 / $384.20	Facility		$242.65	$333.05	$384.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.87 / $340.77 / $535.25	Professional		$262.87	$340.77	$535.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $437.72 / $437.72	Facility		$437.72	$437.72	$437.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $363.97 / $597.33	Professional		$259.20	$363.97	$597.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.95	Professional		$32.34	$32.34	$325.95
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $392.65 / $638.02	Professional		$286.52	$392.65	$638.02