Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.56 / $896.00 / $10,152.00	Facility		$389.56	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $398.92 / $497.56	Professional		$378.96	$398.92	$497.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.86 / $423.95 / $582.49	Professional		$349.86	$423.95	$582.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.85 / $521.36 / $601.42	Facility		$379.85	$521.36	$601.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.40 / $521.36 / $744.80	Professional		$372.40	$521.36	$744.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $459.91 / $459.91	Facility		$459.91	$459.91	$459.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $541.98 / $836.40	Professional		$391.32	$541.98	$836.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $409.64	Professional		$32.34	$32.34	$409.64
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $533.03 / $819.87	Professional		$383.27	$533.03	$819.87