Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.11 / $594.37 / $8,229.00	Facility		$260.11	$594.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.87 / $290.38 / $461.45	Professional		$252.87	$290.38	$461.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $233.17 / $426.27	Professional		$189.04	$233.17	$426.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.63 / $365.23 / $421.33	Facility		$258.63	$365.23	$421.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.36 / $365.23 / $582.46	Professional		$285.36	$365.23	$582.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $482.13	Facility		$480.02	$480.02	$482.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.79 / $430.06 / $664.38	Professional		$296.79	$430.06	$664.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $113.44 / $320.35	Professional		$32.34	$113.44	$320.35
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 $287.02 / $396.63 / $625.24	Professional		$287.02	$396.63	$625.24