Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $708.33 / $8,229.00	Facility		$159.44	$708.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $675.62 / $967.14	Professional		$160.47	$675.62	$967.14
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 $165.47 / $292.48 / $920.94	Professional		$165.47	$292.48	$920.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $209.83 / $242.06	Facility		$152.88	$209.83	$242.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $239.81 / $1,255.18	Professional		$163.60	$239.81	$1,255.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $275.77 / $275.77	Facility		$275.77	$275.77	$275.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.89 / $754.62 / $1,266.81	Professional		$196.89	$754.62	$1,266.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.34 / $1,018.65 / $1,425.43	Professional		$712.34	$1,018.65	$1,425.43