Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.23 / $432.77 / $2,747.00	Facility		$289.23	$432.77	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.36 / $405.72 / $549.10	Professional		$287.36	$405.72	$549.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $246.91 / $386.36	Professional		$203.76	$246.91	$386.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $368.12 / $420.70	Facility		$263.20	$368.12	$420.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $381.26 / $591.62	Professional		$301.72	$381.26	$591.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.25 / $483.81 / $1,117.44	Facility		$349.25	$483.81	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $431.65 / $1,372.01	Professional		$251.87	$431.65	$1,372.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.56	Professional		$32.34	$32.34	$156.56
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 $369.88 / $481.75 / $744.83	Professional		$369.88	$481.75	$744.83