Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $787.00 / $8,229.00	Facility		$256.77	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.57 / $265.67 / $328.85	Professional		$228.57	$265.67	$328.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $201.78 / $343.99	Professional		$166.51	$201.78	$343.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.49 / $347.93 / $401.36	Facility		$253.49	$347.93	$401.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $347.93 / $497.04	Professional		$248.52	$347.93	$497.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $310.24 / $310.24	Facility		$310.24	$310.24	$310.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $287.70 / $454.43	Professional		$218.81	$287.70	$454.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $273.37	Professional		$32.34	$32.34	$273.37
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 $220.87 / $281.08 / $492.90	Professional		$220.87	$281.08	$492.90