Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.29 / $637.00 / $8,229.00	Facility		$271.29	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $275.13 / $384.29	Professional		$271.08	$275.13	$384.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $343.81 / $514.70	Professional		$287.04	$343.81	$514.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $364.64 / $420.64	Facility		$264.77	$364.64	$420.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $364.64 / $520.91	Professional		$283.30	$364.64	$520.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $317.77 / $317.77	Facility		$317.77	$317.77	$317.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $424.41 / $660.88	Professional		$271.85	$424.41	$660.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $315.45	Professional		$32.34	$32.34	$315.45
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $2,600.00 / $12,296.00	Facility		$847.00	$2,600.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $405.90 / $590.42	Professional		$266.80	$405.90	$590.42