Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $210.87 / $8,229.00	Facility		$152.61	$210.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $196.65 / $269.33	Professional		$152.61	$196.65	$269.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $163.94 / $262.00	Professional		$117.21	$163.94	$262.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $205.97 / $237.60	Facility		$150.06	$205.97	$237.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $208.50 / $331.02	Professional		$147.12	$208.50	$331.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $270.70 / $270.70	Facility		$270.70	$270.70	$270.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $224.59 / $378.96	Professional		$157.91	$224.59	$378.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $219.25	Professional		$32.34	$32.34	$219.25
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 $187.95 / $244.14 / $438.72	Professional		$187.95	$244.14	$438.72