Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.66 / $826.24 / $8,229.00	Facility		$342.66	$826.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $413.76 / $638.03	Professional		$293.63	$413.76	$638.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $264.56 / $502.77	Professional		$213.45	$264.56	$502.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $436.11 / $503.08	Facility		$308.70	$436.11	$503.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.93 / $439.23 / $837.78	Professional		$340.93	$439.23	$837.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.99 / $573.17 / $573.17	Facility		$547.99	$573.17	$573.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $531.91 / $894.59	Professional		$363.84	$531.91	$894.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.48 / $469.35	Professional		$32.34	$150.48	$469.35
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 $410.12 / $567.40 / $905.28	Professional		$410.12	$567.40	$905.28