Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.24 / $1,486.00 / $8,229.00	Facility		$295.24	$1,486.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $302.83 / $377.08	Professional		$281.83	$302.83	$377.08
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 $348.50 / $416.97 / $607.39	Professional		$348.50	$416.97	$607.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.62 / $392.03 / $452.24	Facility		$285.62	$392.03	$452.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.02 / $392.03 / $630.04	Professional		$280.02	$392.03	$630.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $346.31 / $346.31	Facility		$346.31	$346.31	$346.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $359.60 / $599.09	Professional		$288.58	$359.60	$599.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $250.00	Professional		$45.00	$45.00	$250.00
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 $275.36 / $390.24 / $617.40	Professional		$275.36	$390.24	$617.40