Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.21 / $449.99 / $13,304.00	Facility		$206.21	$449.99	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $268.02 / $449.99	Professional		$206.21	$268.02	$449.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,018.00 / $12,101.00	Facility		$3,104.00	$5,018.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $247.16 / $406.71	Professional		$175.46	$247.16	$406.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.84 / $279.79 / $322.75	Facility		$203.84	$279.79	$322.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $285.24 / $482.58	Professional		$220.83	$285.24	$482.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $367.72 / $367.72	Facility		$367.72	$367.72	$367.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $323.07 / $577.87	Professional		$214.53	$323.07	$577.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.50	Professional		$32.34	$32.34	$361.50
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 $288.33 / $376.28 / $632.16	Professional		$288.33	$376.28	$632.16