Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $416.00 / $3,740.00	Facility		$227.67	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $281.56 / $354.12	Professional		$227.67	$281.56	$354.12
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 $193.97 / $266.10 / $408.72	Professional		$193.97	$266.10	$408.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.26 / $314.47 / $367.14	Facility		$258.26	$314.47	$367.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $358.05 / $622.70	Professional		$247.50	$358.05	$622.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.88 / $465.89 / $1,111.00	Facility		$326.88	$465.89	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $347.96 / $627.13	Professional		$258.22	$347.96	$627.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $404.76	Professional		$32.34	$32.34	$404.76
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.35 / $351.40 / $599.70	Professional		$288.35	$351.40	$599.70