Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.73 / $637.00 / $8,229.00	Facility		$365.73	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.43 / $370.80 / $518.23	Professional		$365.43	$370.80	$518.23
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 $388.18 / $457.64 / $650.10	Professional		$388.18	$457.64	$650.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $490.15 / $565.41	Facility		$355.81	$490.15	$565.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $490.15 / $700.22	Professional		$380.72	$490.15	$700.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $428.89 / $428.89	Facility		$428.89	$428.89	$428.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $567.03 / $853.11	Professional		$363.74	$567.03	$853.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.12	Professional		$32.34	$32.34	$385.12
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $555.97 / $776.83	Professional		$359.63	$555.97	$776.83