Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.56 / $407.17 / $10,647.00	Facility		$278.56	$407.17	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $316.79 / $414.83	Professional		$278.56	$316.79	$414.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,222.60 / $4,815.76 / $11,253.00	Facility		$2,222.60	$4,815.76	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $226.69 / $288.16	Professional		$192.68	$226.69	$288.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $370.09 / $426.93	Facility		$271.25	$370.09	$426.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $370.09 / $528.70	Professional		$290.24	$370.09	$528.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $325.02 / $325.02	Facility		$325.02	$325.02	$325.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.37 / $403.16 / $711.30	Professional		$298.37	$403.16	$711.30
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $434.79 / $620.60	Professional		$277.36	$434.79	$620.60