Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.60 / $431.49 / $8,229.00	Facility		$356.60	$431.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $356.60 / $468.88	Professional		$303.52	$356.60	$468.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $342.80 / $504.70	Professional		$282.89	$342.80	$504.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.47 / $486.01 / $560.65	Facility		$358.47	$486.01	$560.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.22 / $489.48 / $781.09	Professional		$399.22	$489.48	$781.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.49 / $638.76 / $638.76	Facility		$354.49	$638.76	$638.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $494.47 / $752.51	Professional		$372.26	$494.47	$752.51
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 / $3,086.00 / $6,359.06	Facility		$599.00	$3,086.00	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $334.37 / $485.29 / $778.89	Professional		$334.37	$485.29	$778.89