Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.98 / $787.00 / $3,740.00	Facility		$291.98	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.98 / $345.50 / $451.75	Professional		$291.98	$345.50	$451.75
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 $242.03 / $291.99 / $423.14	Professional		$242.03	$291.99	$423.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $462.45 / $533.46	Facility		$328.97	$462.45	$533.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $462.45 / $660.64	Professional		$330.32	$462.45	$660.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.16 / $417.74 / $417.74	Facility		$307.16	$417.74	$417.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $420.35 / $610.07	Professional		$306.93	$420.35	$610.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $429.42	Professional		$32.34	$32.34	$429.42
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $380.85 / $605.76	Professional		$282.66	$380.85	$605.76