Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.62 / $365.14 / $8,229.00	Facility		$275.62	$365.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $313.11 / $378.31	Professional		$275.62	$313.11	$378.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $307.22 / $462.23	Professional		$257.72	$307.22	$462.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.11 / $365.61 / $421.76	Facility		$268.11	$365.61	$421.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.27 / $365.61 / $522.29	Professional		$255.27	$365.61	$522.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.08 / $321.08 / $435.73	Facility		$321.08	$321.08	$435.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $410.62 / $625.08	Professional		$326.33	$410.62	$625.08
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 $284.22 / $413.08 / $596.42	Professional		$284.22	$413.08	$596.42