Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.62 / $1,654.00 / $9,311.00	Facility		$399.62	$1,654.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.69 / $414.88 / $653.95	Professional		$345.69	$414.88	$653.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,743.00 / $12,254.00	Facility		$2,174.00	$4,743.00	$12,254.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.04 / $373.27 / $556.41	Professional		$308.04	$373.27	$556.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.50 / $540.11 / $623.04	Facility		$393.50	$540.11	$623.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.79 / $540.11 / $771.58	Professional		$385.79	$540.11	$771.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $473.66 / $473.66	Facility		$473.66	$473.66	$473.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $506.30 / $777.78	Professional		$385.26	$506.30	$777.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $424.37	Professional		$32.34	$32.34	$424.37
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 $364.95 / $475.98 / $791.79	Professional		$364.95	$475.98	$791.79