Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.48 / $637.00 / $8,229.00	Facility		$259.48	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $268.37 / $374.08	Professional		$259.48	$268.37	$374.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $4,014.00 / $10,277.00	Facility		$1,775.00	$4,014.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.58 / $291.52 / $465.37	Professional		$240.58	$291.52	$465.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $340.54 / $392.83	Facility		$248.10	$340.54	$392.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $340.54 / $486.48	Professional		$237.77	$340.54	$486.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $298.27 / $461.67	Facility		$298.27	$298.27	$461.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $394.55 / $777.55	Professional		$256.20	$394.55	$777.55
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 $246.12 / $352.20 / $518.74	Professional		$246.12	$352.20	$518.74