Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.27 / $442.57 / $3,740.00	Facility		$345.27	$442.57	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.67 / $386.75 / $505.88	Professional		$313.67	$386.75	$505.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $8,584.00 / $11,253.00	Facility		$280.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $278.83 / $389.08	Professional		$233.79	$278.83	$389.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $417.15 / $490.77	Facility		$306.27	$417.15	$490.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $443.11 / $690.14	Professional		$306.73	$443.11	$690.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.69 / $335.58 / $564.38	Facility		$297.69	$335.58	$564.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $419.68 / $1,591.85	Professional		$300.35	$419.68	$1,591.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.97	Professional		$32.34	$32.34	$130.97
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 $318.95 / $398.66 / $682.72	Professional		$318.95	$398.66	$682.72