Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $333.61 / $8,229.00	Facility		$126.46	$333.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $227.03 / $359.58	Professional		$126.46	$227.03	$359.58
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 $169.26 / $204.37 / $375.08	Professional		$169.26	$204.37	$375.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.40 / $170.46 / $196.65	Facility		$119.40	$170.46	$196.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $170.46 / $243.52	Professional		$121.76	$170.46	$243.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $224.04 / $224.04	Facility		$224.04	$224.04	$224.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $275.05 / $571.82	Professional		$133.36	$275.05	$571.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $291.52	Professional		$32.34	$32.34	$291.52
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 $255.58 / $396.38 / $546.76	Professional		$255.58	$396.38	$546.76