Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.92 / $787.00 / $8,229.00	Facility		$355.92	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.92 / $384.90 / $533.00	Professional		$355.92	$384.90	$533.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.12 / $403.67 / $518.72	Professional		$333.12	$403.67	$518.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.09 / $487.38 / $562.23	Facility		$355.09	$487.38	$562.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.94 / $487.38 / $696.26	Professional		$382.94	$487.38	$696.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $426.40 / $426.40	Facility		$426.40	$426.40	$426.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.62 / $525.80 / $797.48	Professional		$358.62	$525.80	$797.48
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 $523.00 / $1,913.00 / $5,654.00	Facility		$523.00	$1,913.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $543.27 / $700.62	Professional		$360.80	$543.27	$700.62