Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.03 / $557.00 / $5,320.00	Facility		$254.03	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $365.98 / $563.70	Professional		$265.33	$365.98	$563.70
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 $200.74 / $244.29 / $461.51	Professional		$200.74	$244.29	$461.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.19 / $396.52 / $457.43	Facility		$280.19	$396.52	$457.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.86 / $399.35 / $637.27	Professional		$276.86	$399.35	$637.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.45 / $521.14 / $521.14	Facility		$486.45	$521.14	$521.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.25 / $503.55 / $831.94	Professional		$349.25	$503.55	$831.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $146.36 / $439.19	Professional		$32.34	$146.36	$439.19
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 $386.05 / $526.04 / $835.30	Professional		$386.05	$526.04	$835.30