Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.73 / $860.00 / $8,229.00	Facility		$248.73	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.53 / $252.59 / $346.99	Professional		$241.53	$252.59	$346.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.32 / $270.62 / $426.53	Professional		$223.32	$270.62	$426.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.64 / $316.57 / $365.18	Facility		$230.64	$316.57	$365.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $316.57 / $452.24	Professional		$260.04	$316.57	$452.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.99 / $277.49 / $277.49	Facility		$244.99	$277.49	$277.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $352.14 / $533.28	Professional		$238.00	$352.14	$533.28
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 $242.73 / $345.56 / $493.54	Professional		$242.73	$345.56	$493.54