Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.93 / $542.55 / $5,320.00	Facility		$298.93	$542.55	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $426.38 / $589.98	Professional		$340.35	$426.38	$589.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $385.54 / $590.90	Professional		$316.47	$385.54	$590.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.21 / $465.82 / $537.36	Facility		$330.21	$465.82	$537.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $469.15 / $748.64	Professional		$325.24	$469.15	$748.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.98 / $612.22 / $612.22	Facility		$512.98	$612.22	$612.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.83 / $584.39 / $939.34	Professional		$386.83	$584.39	$939.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $538.40	Professional		$32.34	$32.34	$538.40
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 $441.53 / $583.95 / $937.46	Professional		$441.53	$583.95	$937.46