Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.66 / $896.00 / $10,152.00	Facility		$442.66	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.66 / $442.66 / $525.97	Professional		$416.66	$442.66	$525.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $389.29 / $653.76	Professional		$321.26	$389.29	$653.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.85 / $682.82 / $787.68	Facility		$503.85	$682.82	$787.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $682.82 / $975.46	Professional		$539.12	$682.82	$975.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $608.44 / $608.44	Facility		$455.47	$608.44	$608.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $580.41 / $985.12	Professional		$414.80	$580.41	$985.12
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 $424.70 / $591.69 / $1,029.61	Professional		$424.70	$591.69	$1,029.61