Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $323.10 / $8,229.00	Facility		$205.77	$323.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $205.77 / $248.68	Professional		$178.51	$205.77	$248.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $221.03 / $408.00	Professional		$175.68	$221.03	$408.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.65 / $284.33 / $328.00	Facility		$209.65	$284.33	$328.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $284.83 / $452.14	Professional		$224.33	$284.83	$452.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.55 / $373.69 / $373.69	Facility		$256.55	$373.69	$373.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $299.83 / $457.39	Professional		$220.04	$299.83	$457.39
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $272.89 / $451.22	Professional		$197.48	$272.89	$451.22