Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.23 / $437.02 / $8,229.00	Facility		$285.23	$437.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $366.16 / $558.16	Professional		$285.23	$366.16	$558.16
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 $188.86 / $273.33 / $464.62	Professional		$188.86	$273.33	$464.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $388.60 / $448.27	Facility		$283.12	$388.60	$448.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.32 / $402.48 / $624.53	Professional		$271.32	$402.48	$624.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.73 / $510.73 / $510.73	Facility		$510.73	$510.73	$510.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $417.70 / $720.04	Professional		$273.05	$417.70	$720.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $457.29	Professional		$32.34	$32.34	$457.29
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.52 / $460.01 / $821.23	Professional		$354.52	$460.01	$821.23