Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $860.00 / $8,229.00	Facility		$203.55	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $210.76 / $259.98	Professional		$177.24	$210.76	$259.98
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 $138.16 / $162.88 / $269.31	Professional		$138.16	$162.88	$269.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.24 / $274.85 / $317.05	Facility		$200.24	$274.85	$317.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $274.85 / $392.64	Professional		$196.32	$274.85	$392.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $240.68 / $240.68	Facility		$240.68	$240.68	$240.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $245.52 / $389.45	Professional		$167.54	$245.52	$389.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.95	Professional		$32.34	$32.34	$215.95
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $239.39 / $405.46	Professional		$183.05	$239.39	$405.46