Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.32 / $896.00 / $10,152.00	Facility		$297.32	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $297.32 / $378.01	Professional		$286.73	$297.32	$378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.32 / $333.63 / $499.77	Professional		$275.32	$333.63	$499.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.04 / $402.21 / $463.98	Facility		$293.04	$402.21	$463.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $402.21 / $574.58	Professional		$280.83	$402.21	$574.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $353.00 / $395.62	Facility		$353.00	$353.00	$395.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.49 / $445.72 / $683.94	Professional		$321.49	$445.72	$683.94
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $422.49 / $586.91	Professional		$299.72	$422.49	$586.91