Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.31 / $416.58 / $8,229.00	Facility		$123.31	$416.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $329.24 / $525.76	Professional		$123.31	$329.24	$525.76
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 $95.40 / $230.92 / $506.87	Professional		$95.40	$230.92	$506.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $166.80 / $192.41	Facility		$121.52	$166.80	$192.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $172.75 / $563.80	Professional		$130.71	$172.75	$563.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $219.22 / $219.22	Facility		$219.22	$219.22	$219.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $392.23 / $714.21	Professional		$133.51	$392.23	$714.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $416.58	Professional		$32.34	$32.34	$416.58
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.89 / $515.85 / $808.08	Professional		$369.89	$515.85	$808.08