Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $277.51 / $8,229.00	Facility		$197.83	$277.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $197.83 / $227.39	Professional		$184.92	$197.83	$227.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $232.96 / $354.40	Professional		$192.24	$232.96	$354.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $308.98 / $419.33	Facility		$225.12	$308.98	$419.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $308.98 / $441.40	Professional		$220.70	$308.98	$441.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.20 / $272.20 / $273.47	Facility		$272.20	$272.20	$273.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $307.39 / $462.43	Professional		$226.83	$307.39	$462.43
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $287.07 / $462.62	Professional		$211.87	$287.07	$462.62