Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.86 / $400.00 / $3,740.00	Facility		$294.86	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $303.83 / $376.51	Professional		$248.32	$303.83	$376.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $327.62 / $466.97	Professional		$270.36	$327.62	$466.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $399.94 / $461.36	Facility		$294.52	$399.94	$461.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $416.28 / $642.76	Professional		$328.52	$416.28	$642.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.63 / $525.63 / $525.63	Facility		$525.63	$525.63	$525.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.52 / $489.64 / $771.68	Professional		$309.52	$489.64	$771.68
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.32 / $504.60 / $767.65	Professional		$339.32	$504.60	$767.65