Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.10 / $787.00 / $8,229.00	Facility		$274.10	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $281.80 / $337.35	Professional		$274.10	$281.80	$337.35
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 $253.76 / $305.77 / $417.90	Professional		$253.76	$305.77	$417.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.68 / $357.80 / $412.74	Facility		$260.68	$357.80	$412.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.13 / $357.80 / $511.14	Professional		$281.13	$357.80	$511.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.63 / $313.87 / $313.87	Facility		$276.63	$313.87	$313.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.52 / $396.80 / $605.27	Professional		$270.52	$396.80	$605.27
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 $269.85 / $386.95 / $547.59	Professional		$269.85	$386.95	$547.59