Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $427.46 / $5,320.00	Facility		$266.02	$427.46	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.11 / $346.81 / $427.34	Professional		$234.11	$346.81	$427.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $313.99 / $458.83	Professional		$221.60	$313.99	$458.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.30 / $323.02 / $377.13	Facility		$265.30	$323.02	$377.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $378.82 / $777.20	Professional		$254.24	$378.82	$777.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $478.57 / $1,587.00	Facility		$289.66	$478.57	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $407.41 / $742.13	Professional		$283.31	$407.41	$742.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $505.18	Professional		$32.34	$32.34	$505.18
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.15 / $407.41 / $693.39	Professional		$338.15	$407.41	$693.39