Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.29 / $454.96 / $8,229.00	Facility		$297.29	$454.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $379.71 / $559.84	Professional		$297.29	$379.71	$559.84
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 $207.06 / $313.88 / $501.48	Professional		$207.06	$313.88	$501.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $397.53 / $458.58	Facility		$289.63	$397.53	$458.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.56 / $409.98 / $638.89	Professional		$277.56	$409.98	$638.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.47 / $522.47 / $522.47	Facility		$522.47	$522.47	$522.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $426.80 / $713.36	Professional		$295.62	$426.80	$713.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $454.96	Professional		$32.34	$32.34	$454.96
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $470.55 / $852.88	Professional		$363.20	$470.55	$852.88