Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.78 / $637.00 / $8,229.00	Facility		$220.78	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.91 / $242.61 / $297.27	Professional		$219.91	$242.61	$297.27
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 $214.03 / $259.35 / $374.00	Professional		$214.03	$259.35	$374.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.45 / $325.64 / $375.65	Facility		$238.45	$325.64	$375.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $325.64 / $465.20	Professional		$255.86	$325.64	$465.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $289.02 / $307.49	Facility		$289.02	$289.02	$307.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.08 / $336.24 / $526.41	Professional		$249.08	$336.24	$526.41
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 $223.69 / $347.39 / $492.98	Professional		$223.69	$347.39	$492.98