Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.00 / $8,229.00	Facility		$218.78	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $325.54 / $486.32	Professional		$213.45	$325.54	$486.32
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 $158.37 / $240.01 / $404.68	Professional		$158.37	$240.01	$404.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.33 / $295.55 / $340.94	Facility		$215.33	$295.55	$340.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $305.35 / $475.00	Professional		$211.11	$305.35	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $388.44 / $388.44	Facility		$388.44	$388.44	$388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $342.39 / $589.27	Professional		$223.66	$342.39	$589.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.30	Professional		$32.34	$32.34	$348.30
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $381.81 / $635.27	Professional		$296.55	$381.81	$635.27