Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.49 / $787.00 / $8,229.00	Facility		$323.49	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.23 / $355.49 / $404.15	Professional		$322.23	$355.49	$404.15
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 $254.75 / $308.69 / $508.97	Professional		$254.75	$308.69	$508.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $479.36 / $552.98	Facility		$351.00	$479.36	$552.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.76 / $479.36 / $684.80	Professional		$393.76	$479.36	$684.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.23 / $423.90 / $423.90	Facility		$385.23	$423.90	$423.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.25 / $491.40 / $782.50	Professional		$353.25	$491.40	$782.50
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 $333.53 / $526.01 / $715.61	Professional		$333.53	$526.01	$715.61