Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $378.09 / $8,229.00	Facility		$323.39	$378.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $323.39 / $378.09	Professional		$317.47	$323.39	$378.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,467.32 / $5,830.00 / $11,253.00	Facility		$2,467.32	$5,830.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $374.61 / $507.73	Professional		$309.14	$374.61	$507.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.52 / $434.45 / $501.16	Facility		$316.52	$434.45	$501.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.87 / $434.45 / $620.64	Professional		$356.87	$434.45	$620.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $382.85 / $451.18	Facility		$382.85	$382.85	$451.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $481.91 / $770.45	Professional		$346.25	$481.91	$770.45
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 $330.26 / $483.66 / $678.43	Professional		$330.26	$483.66	$678.43