Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.14 / $787.00 / $3,740.00	Facility		$250.14	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $290.58 / $357.30	Professional		$250.14	$290.58	$357.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $292.66 / $438.00	Professional		$237.24	$292.66	$438.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.14 / $406.35 / $479.52	Facility		$280.14	$406.35	$479.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $406.35 / $580.50	Professional		$290.25	$406.35	$580.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $441.59	Facility		$357.11	$357.11	$441.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $412.87 / $616.69	Professional		$296.95	$412.87	$616.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.33	Professional		$32.34	$32.34	$377.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $20,161.00	Facility		$1,168.00	$6,186.00	$20,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $378.33 / $536.92	Professional		$284.10	$378.33	$536.92