Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $416.00 / $8,229.00	Facility		$151.97	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $294.81 / $498.26	Professional		$151.97	$294.81	$498.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $247.42 / $464.58	Professional		$130.59	$247.42	$464.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.21 / $204.79 / $236.25	Facility		$149.21	$204.79	$236.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $212.11 / $535.53	Professional		$142.99	$212.11	$535.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $269.16 / $269.16	Facility		$269.16	$269.16	$269.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $362.84 / $705.10	Professional		$171.30	$362.84	$705.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $397.76	Professional		$32.34	$32.34	$397.76
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 $340.34 / $474.38 / $733.87	Professional		$340.34	$474.38	$733.87