Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $860.00 / $3,740.00	Facility		$281.72	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $322.93 / $355.35	Professional		$281.72	$322.93	$355.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.92 / $327.29 / $447.61	Professional		$263.92	$327.29	$447.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.23 / $439.31 / $506.77	Facility		$310.23	$439.31	$506.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $439.31 / $627.58	Professional		$306.73	$439.31	$627.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.97 / $447.69 / $657.27	Professional		$321.97	$447.69	$657.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $407.93	Professional		$32.34	$32.34	$407.93
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 $298.83 / $407.09 / $664.82	Professional		$298.83	$407.09	$664.82