Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $735.17 / $8,229.00	Facility		$197.04	$735.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $696.39 / $938.97	Professional		$197.04	$696.39	$938.97
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 $195.48 / $740.12 / $1,327.19	Professional		$195.48	$740.12	$1,327.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.77 / $264.89 / $305.58	Facility		$192.77	$264.89	$305.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $274.35 / $994.98	Professional		$184.95	$274.35	$994.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $348.15 / $348.15	Facility		$348.15	$348.15	$348.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.19 / $730.54 / $1,604.57	Professional		$221.19	$730.54	$1,604.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $857.42	Professional		$32.34	$32.34	$857.42
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 $812.31 / $1,221.65 / $1,705.04	Professional		$812.31	$1,221.65	$1,705.04