Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.38 / $422.73 / $8,229.00	Facility		$262.38	$422.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.38 / $300.57 / $389.48	Professional		$262.38	$300.57	$389.48
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 $251.96 / $296.42 / $368.43	Professional		$251.96	$296.42	$368.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.66 / $346.33 / $399.51	Facility		$253.66	$346.33	$399.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $346.33 / $494.76	Professional		$241.81	$346.33	$494.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $305.18 / $305.18	Facility		$305.18	$305.18	$305.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $391.24 / $736.70	Professional		$279.02	$391.24	$736.70
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 $271.20 / $441.22 / $569.00	Professional		$271.20	$441.22	$569.00