Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.93 / $337.09 / $8,229.00	Facility		$263.93	$337.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $272.44 / $337.09	Professional		$248.38	$272.44	$337.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $268.70 / $387.03	Professional		$221.74	$268.70	$387.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.63 / $353.61 / $407.91	Facility		$257.63	$353.61	$407.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.22 / $353.61 / $505.16	Professional		$273.22	$353.61	$505.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $310.51 / $310.51	Facility		$310.51	$310.51	$310.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.32 / $353.33 / $549.79	Professional		$262.32	$353.33	$549.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.83	Professional		$32.34	$32.34	$277.83
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $339.92 / $538.44	Professional		$248.99	$339.92	$538.44