Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $405.89 / $8,229.00	Facility		$250.52	$405.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $321.76 / $518.41	Professional		$250.52	$321.76	$518.41
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 $220.09 / $298.30 / $474.81	Professional		$220.09	$298.30	$474.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.36 / $339.51 / $391.65	Facility		$247.36	$339.51	$391.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.51 / $351.64 / $555.84	Professional		$242.51	$351.64	$555.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $446.22 / $446.22	Facility		$446.22	$446.22	$446.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $394.76 / $684.64	Professional		$262.02	$394.76	$684.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $418.42	Professional		$32.34	$32.34	$418.42
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 $333.46 / $442.49 / $795.46	Professional		$333.46	$442.49	$795.46