Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $637.00 / $8,229.00	Facility		$272.80	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $304.55 / $471.50	Professional		$272.06	$304.55	$471.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $4,043.00 / $10,795.00	Facility		$1,775.00	$4,043.00	$10,795.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.06 / $403.33 / $561.66	Professional		$339.06	$403.33	$561.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.89 / $404.95 / $467.13	Facility		$295.89	$404.95	$467.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $404.95 / $578.50	Professional		$318.18	$404.95	$578.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $357.20 / $437.93	Facility		$357.20	$357.20	$437.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.98 / $492.51 / $821.12	Professional		$317.98	$492.51	$821.12
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $520.30 / $642.45	Professional		$314.05	$520.30	$642.45