Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.36 / $652.61 / $8,229.00	Facility		$343.36	$652.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $348.62 / $672.46	Professional		$311.85	$348.62	$672.46
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 $465.67 / $570.92 / $813.60	Professional		$465.67	$570.92	$813.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.68 / $463.53 / $534.72	Facility		$338.68	$463.53	$534.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $463.53 / $662.18	Professional		$362.39	$463.53	$662.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.89 / $408.89 / $606.15	Facility		$408.89	$408.89	$606.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $684.86 / $1,140.71	Professional		$363.92	$684.86	$1,140.71
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 $428.15 / $686.95 / $795.89	Professional		$428.15	$686.95	$795.89