Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $368.82 / $8,229.00	Facility		$217.95	$368.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $288.76 / $438.43	Professional		$217.95	$288.76	$438.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $248.03 / $380.54	Professional		$183.77	$248.03	$380.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.49 / $293.02 / $338.03	Facility		$213.49	$293.02	$338.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $300.82 / $470.95	Professional		$229.60	$300.82	$470.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.13 / $385.13 / $385.13	Facility		$385.13	$385.13	$385.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $324.62 / $543.92	Professional		$226.89	$324.62	$543.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $301.70	Professional		$32.34	$32.34	$301.70
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 $264.12 / $362.08 / $586.14	Professional		$264.12	$362.08	$586.14