Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.62 / $637.00 / $8,229.00	Facility		$289.62	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $318.26 / $392.89	Professional		$277.64	$318.26	$392.89
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 $258.64 / $313.43 / $449.32	Professional		$258.64	$313.43	$449.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.31 / $428.48 / $494.29	Facility		$314.31	$428.48	$494.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $428.48 / $612.12	Professional		$336.67	$428.48	$612.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $378.98 / $378.98	Facility		$319.89	$378.98	$378.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.01 / $408.03 / $656.76	Professional		$317.01	$408.03	$656.76
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 $279.48 / $426.94 / $621.58	Professional		$279.48	$426.94	$621.58