Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $637.00 / $8,229.00	Facility		$284.83	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $293.70 / $521.14	Professional		$284.83	$293.70	$521.14
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 $267.44 / $324.08 / $432.70	Professional		$267.44	$324.08	$432.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $373.25 / $430.58	Facility		$271.94	$373.25	$430.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $373.25 / $533.22	Professional		$266.61	$373.25	$533.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.77 / $327.50 / $327.50	Facility		$287.77	$327.50	$327.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.82 / $413.65 / $634.77	Professional		$280.82	$413.65	$634.77
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 $273.60 / $407.90 / $568.76	Professional		$273.60	$407.90	$568.76