Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $376.75 / $8,229.00	Facility		$158.41	$376.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $249.71 / $376.75	Professional		$158.41	$249.71	$376.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $200.90 / $338.40	Professional		$124.18	$200.90	$338.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $215.42 / $248.50	Facility		$156.94	$215.42	$248.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $223.11 / $397.68	Professional		$150.41	$223.11	$397.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $283.12 / $283.12	Facility		$283.12	$283.12	$283.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $272.80 / $495.25	Professional		$161.72	$272.80	$495.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.12	Professional		$32.34	$32.34	$308.12
United Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $794.00 / $5,301.00	Facility		$439.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $308.14 / $559.04	Professional		$250.28	$308.14	$559.04