Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $860.00 / $8,229.00	Facility		$262.63	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $271.64 / $359.85	Professional		$262.63	$271.64	$359.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.00 / $4,423.00 / $10,099.00	Facility		$2,942.00	$4,423.00	$10,099.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $335.83 / $398.47	Professional		$285.45	$335.83	$398.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.07 / $351.47 / $405.44	Facility		$256.07	$351.47	$405.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $351.47 / $502.10	Professional		$251.05	$351.47	$502.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $308.95 / $308.95	Facility		$308.95	$308.95	$308.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.47 / $358.65 / $726.85	Professional		$257.47	$358.65	$726.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.16	Professional		$32.34	$32.34	$276.16
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $388.08 / $557.24	Professional		$258.22	$388.08	$557.24