Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.23 / $391.63 / $8,067.26	Facility		$176.23	$391.63	$8,067.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $292.68 / $391.63	Professional		$160.37	$292.68	$391.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $223.12 / $396.33	Professional		$150.19	$223.12	$396.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $238.49 / $275.12	Facility		$174.24	$238.49	$275.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.39 / $248.94 / $445.91	Professional		$187.39	$248.94	$445.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.44 / $313.44 / $357.82	Facility		$313.44	$313.44	$357.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $359.39 / $654.02	Professional		$209.35	$359.39	$654.02
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 $287.20 / $468.31 / $644.09	Professional		$287.20	$468.31	$644.09