Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.64 / $494.00 / $8,229.00	Facility		$284.64	$494.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $286.19 / $331.86	Professional		$269.73	$286.19	$331.86
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 $207.74 / $251.73 / $400.41	Professional		$207.74	$251.73	$400.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $384.38 / $443.42	Facility		$282.50	$384.38	$443.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $384.38 / $549.12	Professional		$302.02	$384.38	$549.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $344.86 / $344.86	Facility		$287.52	$344.86	$344.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $352.11 / $580.94	Professional		$264.39	$352.11	$580.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $347.73 / $547.45	Professional		$249.52	$347.73	$547.45