Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.26 / $612.00 / $2,747.00	Facility		$201.26	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $287.32 / $383.69	Professional		$193.98	$287.32	$383.69
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 $186.51 / $226.01 / $344.55	Professional		$186.51	$226.01	$344.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.61 / $249.47 / $285.10	Facility		$178.61	$249.47	$285.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.47 / $258.75 / $400.93	Professional		$204.47	$258.75	$400.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.32 / $327.87 / $540.64	Facility		$241.32	$327.87	$540.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $296.87 / $933.92	Professional		$192.69	$296.87	$933.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.10	Professional		$32.34	$32.34	$105.10
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 $264.37 / $348.08 / $576.34	Professional		$264.37	$348.08	$576.34