Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $988.00 / $8,229.00	Facility		$213.00	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $272.05 / $489.59	Professional		$210.87	$272.05	$489.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,137.00 / $2,978.00	Facility		$1,066.00	$2,137.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.54 / $383.14 / $544.90	Professional		$304.54	$383.14	$544.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $285.50 / $329.35	Facility		$208.01	$285.50	$329.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.66 / $285.50 / $407.86	Professional		$222.66	$285.50	$407.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $251.53 / $251.53	Facility		$251.53	$251.53	$251.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.73 / $452.85 / $708.44	Professional		$225.73	$452.85	$708.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.11	Professional		$32.34	$32.34	$265.11
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $423.79 / $541.46	Professional		$212.46	$423.79	$541.46