Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.63 / $787.00 / $8,229.00	Facility		$317.63	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $326.94 / $390.92	Professional		$317.63	$326.94	$390.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $355.77 / $498.80	Professional		$295.81	$355.77	$498.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.07 / $415.98 / $479.86	Facility		$303.07	$415.98	$479.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $415.98 / $594.26	Professional		$334.41	$415.98	$594.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.10 / $364.85 / $364.85	Facility		$323.10	$364.85	$364.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.82 / $462.88 / $706.65	Professional		$312.82	$462.88	$706.65
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 $302.63 / $448.25 / $633.79	Professional		$302.63	$448.25	$633.79