Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $400.00 / $8,229.00	Facility		$261.29	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $336.91 / $487.53	Professional		$261.29	$336.91	$487.53
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 $186.10 / $261.42 / $432.92	Professional		$186.10	$261.42	$432.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.37 / $343.64 / $396.42	Facility		$250.37	$343.64	$396.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.94 / $346.10 / $552.29	Professional		$239.94	$346.10	$552.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $451.65 / $451.65	Facility		$451.65	$451.65	$451.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $379.33 / $641.47	Professional		$253.78	$379.33	$641.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.83	Professional		$32.34	$32.34	$389.83
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.19 / $422.11 / $735.13	Professional		$318.19	$422.11	$735.13