Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $400.00 / $8,229.00	Facility		$119.49	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $200.68 / $751.52	Professional		$121.60	$200.68	$751.52
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 $152.40 / $200.83 / $252.30	Professional		$152.40	$200.83	$252.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $160.08 / $184.66	Facility		$111.62	$160.08	$184.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $165.05 / $264.77	Professional		$124.98	$165.05	$264.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $210.39 / $210.39	Facility		$210.39	$210.39	$210.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $207.40 / $391.81	Professional		$127.35	$207.40	$391.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.91	Professional		$32.34	$32.34	$201.91
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 $180.62 / $264.64 / $375.80	Professional		$180.62	$264.64	$375.80