Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.11 / $787.00 / $8,229.00	Facility		$286.11	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $337.56 / $344.61	Professional		$286.77	$337.56	$344.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $268.62 / $465.53	Professional		$221.68	$268.62	$465.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $451.54 / $520.89	Facility		$331.55	$451.54	$520.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $451.54 / $645.05	Professional		$370.91	$451.54	$645.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.73 / $404.14 / $404.14	Facility		$265.73	$404.14	$404.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.48 / $405.15 / $641.54	Professional		$295.48	$405.15	$641.54
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 $281.69 / $447.50 / $641.32	Professional		$281.69	$447.50	$641.32