Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $2,495.00 / $8,229.00	Facility		$291.45	$2,495.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $310.25 / $425.00	Professional		$283.33	$310.25	$425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $4,026.00 / $10,277.00	Facility		$1,775.00	$4,026.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $317.89 / $494.70	Professional		$262.33	$317.89	$494.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.25 / $370.93 / $427.90	Facility		$270.25	$370.93	$427.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $370.93 / $529.90	Professional		$289.08	$370.93	$529.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.19 / $325.81 / $325.81	Facility		$288.19	$325.81	$325.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $412.83 / $625.41	Professional		$279.39	$412.83	$625.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $402.57 / $579.38	Professional		$268.38	$402.57	$579.38