Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.16 / $988.00 / $8,229.00	Facility		$317.16	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $330.76 / $425.71	Professional		$295.08	$330.76	$425.71
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 $246.02 / $298.93 / $446.40	Professional		$246.02	$298.93	$446.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $430.57 / $496.70	Facility		$313.70	$430.57	$496.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.63 / $430.57 / $615.10	Professional		$300.63	$430.57	$615.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $379.05 / $379.05	Facility		$379.05	$379.05	$379.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.48 / $390.94 / $615.90	Professional		$314.48	$390.94	$615.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $338.31	Professional		$32.34	$32.34	$338.31
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 $296.60 / $381.61 / $667.50	Professional		$296.60	$381.61	$667.50