Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.76 / $557.00 / $5,320.00	Facility		$242.76	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $327.96 / $449.60	Professional		$223.10	$327.96	$449.60
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 $187.27 / $226.93 / $359.43	Professional		$187.27	$226.93	$359.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.40 / $298.87 / $341.57	Facility		$211.40	$298.87	$341.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $326.10 / $480.33	Professional		$213.48	$326.10	$480.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.25 / $392.80 / $591.08	Facility		$246.25	$392.80	$591.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $356.95 / $1,091.39	Professional		$219.39	$356.95	$1,091.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.44	Professional		$32.34	$32.34	$123.44
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 $305.95 / $366.04 / $608.42	Professional		$305.95	$366.04	$608.42