Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.21 / $534.05 / $8,229.00	Facility		$332.21	$534.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $427.96 / $526.69	Professional		$332.21	$427.96	$526.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,045.00 / $11,262.00	Facility		$2,288.00	$4,045.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.72 / $382.07 / $536.90	Professional		$291.72	$382.07	$536.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.87 / $458.90 / $535.75	Facility		$376.87	$458.90	$535.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $530.23 / $971.02	Professional		$406.82	$530.23	$971.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.19 / $679.84 / $2,285.00	Facility		$279.19	$679.84	$2,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $490.03 / $890.44	Professional		$340.89	$490.03	$890.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.16	Professional		$32.34	$32.34	$631.16
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.88 / $507.95 / $886.46	Professional		$415.88	$507.95	$886.46