Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $281.94 / $8,229.00	Facility		$158.29	$281.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $214.71 / $281.94	Professional		$158.29	$214.71	$281.94
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 $122.74 / $180.90 / $290.91	Professional		$122.74	$180.90	$290.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.79 / $212.45 / $245.08	Facility		$154.79	$212.45	$245.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $216.87 / $341.44	Professional		$167.68	$216.87	$341.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.22 / $279.22 / $279.22	Facility		$279.22	$279.22	$279.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $242.71 / $427.21	Professional		$166.52	$242.71	$427.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.65	Professional		$32.34	$32.34	$229.65
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.38 / $275.16 / $459.37	Professional		$203.38	$275.16	$459.37