Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.56 / $860.00 / $8,229.00	Facility		$218.56	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $226.49 / $279.14	Professional		$218.56	$226.49	$279.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.00 / $4,423.00 / $10,099.00	Facility		$2,942.00	$4,423.00	$10,099.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.48 / $266.45 / $315.73	Professional		$226.48	$266.45	$315.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $293.31 / $338.35	Facility		$213.70	$293.31	$338.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $293.31 / $419.02	Professional		$204.80	$293.31	$419.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $257.64 / $257.64	Facility		$257.64	$257.64	$257.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $299.41 / $604.47	Professional		$214.71	$299.41	$604.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.46	Professional		$32.34	$32.34	$230.46
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 $215.02 / $331.53 / $464.61	Professional		$215.02	$331.53	$464.61