Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $394.15 / $8,229.00	Facility		$117.60	$394.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $251.05 / $379.90	Professional		$126.56	$251.05	$379.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $165.40 / $286.94	Professional		$139.30	$165.40	$286.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $180.10 / $211.87	Facility		$130.22	$180.10	$211.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $189.55 / $396.56	Professional		$151.94	$189.55	$396.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.27 / $243.65 / $243.65	Facility		$233.27	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $322.33 / $615.63	Professional		$174.03	$322.33	$615.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $296.69	Professional		$32.34	$32.34	$296.69
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.19 / $379.55 / $588.91	Professional		$310.19	$379.55	$588.91