Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.01 / $637.00 / $8,229.00	Facility		$294.01	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.16 / $323.08 / $398.47	Professional		$282.16	$323.08	$398.47
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 $265.02 / $321.14 / $455.50	Professional		$265.02	$321.14	$455.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.73 / $434.56 / $501.30	Facility		$318.73	$434.56	$501.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.18 / $434.56 / $698.40	Professional		$352.18	$434.56	$698.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.97 / $384.71 / $384.71	Facility		$317.97	$384.71	$384.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.31 / $416.87 / $668.24	Professional		$322.31	$416.87	$668.24
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 $284.69 / $468.68 / $631.07	Professional		$284.69	$468.68	$631.07