Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.51 / $416.00 / $3,740.00	Facility		$376.51	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.38 / $393.62 / $465.26	Professional		$353.38	$393.62	$465.26
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 $272.17 / $329.81 / $495.69	Professional		$272.17	$329.81	$495.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.64 / $452.24 / $532.04	Facility		$282.64	$452.24	$532.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $465.54 / $696.82	Professional		$332.53	$465.54	$696.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.76 / $349.91 / $611.86	Facility		$224.76	$349.91	$611.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $424.76 / $1,719.68	Professional		$306.27	$424.76	$1,719.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.54	Professional		$32.34	$32.34	$139.54
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 $316.43 / $395.43 / $685.68	Professional		$316.43	$395.43	$685.68