Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.93 / $860.00 / $9,311.00	Facility		$234.93	$860.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $242.86 / $357.67	Professional		$224.60	$242.86	$357.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,508.00 / $9,461.00	Facility		$2,174.00	$4,508.00	$9,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.31 / $245.16 / $361.80	Professional		$202.31	$245.16	$361.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $318.01 / $366.85	Facility		$231.70	$318.01	$366.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $318.01 / $454.30	Professional		$222.04	$318.01	$454.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $280.11 / $280.11	Facility		$280.11	$280.11	$280.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $317.52 / $460.44	Professional		$237.16	$317.52	$460.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.87	Professional		$32.34	$32.34	$249.87
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 $217.32 / $300.74 / $474.25	Professional		$217.32	$300.74	$474.25