Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $518.90 / $8,229.00	Facility		$174.45	$518.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $268.57 / $656.35	Professional		$174.45	$268.57	$656.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,654.00 / $4,423.00	Facility		$1,421.00	$2,654.00	$4,423.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $423.07 / $655.78	Professional		$201.97	$423.07	$655.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $234.28 / $270.26	Facility		$170.69	$234.28	$270.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $240.89 / $704.93	Professional		$184.91	$240.89	$704.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $307.91 / $307.91	Facility		$307.91	$307.91	$307.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $498.01 / $935.24	Professional		$184.10	$498.01	$935.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $518.90	Professional		$32.34	$32.34	$518.90
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.06 / $739.36 / $1,057.55	Professional		$504.06	$739.36	$1,057.55