Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $637.00 / $8,229.00	Facility		$338.13	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.13 / $347.62 / $448.63	Professional		$338.13	$347.62	$448.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $385.15 / $547.11	Professional		$317.83	$385.15	$547.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.97 / $443.28 / $511.37	Facility		$322.97	$443.28	$511.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $443.28 / $633.26	Professional		$364.12	$443.28	$633.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $388.19 / $390.50	Facility		$388.19	$388.19	$390.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.09 / $508.07 / $758.63	Professional		$334.09	$508.07	$758.63
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 $349.04 / $512.40 / $676.37	Professional		$349.04	$512.40	$676.37