Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $787.00 / $8,229.00	Facility		$252.28	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $277.23 / $298.08	Professional		$251.43	$277.23	$298.08
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 $236.95 / $287.13 / $394.06	Professional		$236.95	$287.13	$394.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $373.80 / $431.21	Facility		$272.33	$373.80	$431.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $373.80 / $600.75	Professional		$307.05	$373.80	$600.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $330.06 / $330.06	Facility		$276.85	$330.06	$330.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.85 / $377.36 / $601.57	Professional		$276.85	$377.36	$601.57
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 $254.53 / $388.89 / $564.83	Professional		$254.53	$388.89	$564.83