Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.23 / $2,747.00 / $10,850.91	Facility		$257.23	$2,747.00	$10,850.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $265.92 / $445.66	Professional		$239.83	$265.92	$445.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,551.00 / $9,461.00	Facility		$2,174.00	$4,551.00	$9,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $263.19 / $373.50	Professional		$217.19	$263.19	$373.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $347.24 / $400.58	Facility		$253.00	$347.24	$400.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $347.24 / $496.06	Professional		$242.45	$347.24	$496.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $306.14 / $306.14	Facility		$306.14	$306.14	$306.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.91 / $337.27 / $512.28	Professional		$254.91	$337.27	$512.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $272.83	Professional		$32.34	$32.34	$272.83
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 $239.12 / $333.29 / $496.74	Professional		$239.12	$333.29	$496.74