Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $380.57 / $8,229.00	Facility		$221.16	$380.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $294.58 / $474.05	Professional		$221.16	$294.58	$474.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $254.60 / $420.50	Professional		$170.73	$254.60	$420.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $299.68 / $345.71	Facility		$218.34	$299.68	$345.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.27 / $305.83 / $507.07	Professional		$235.27	$305.83	$507.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $393.87 / $393.87	Facility		$393.87	$393.87	$393.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $352.24 / $614.52	Professional		$227.32	$352.24	$614.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $380.57	Professional		$32.34	$32.34	$380.57
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 $306.16 / $395.91 / $670.52	Professional		$306.16	$395.91	$670.52