Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.14 / $489.24 / $5,320.00	Facility		$299.14	$489.24	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.25 / $403.23 / $508.44	Professional		$263.25	$403.23	$508.44
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 $228.28 / $356.74 / $494.60	Professional		$228.28	$356.74	$494.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.70 / $362.49 / $423.20	Facility		$297.70	$362.49	$423.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.86 / $434.75 / $889.52	Professional		$291.86	$434.75	$889.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.63 / $537.02 / $1,587.00	Facility		$302.63	$537.02	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $458.29 / $815.32	Professional		$306.80	$458.29	$815.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.19	Professional		$32.34	$32.34	$578.19
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.50 / $475.62 / $781.07	Professional		$365.50	$475.62	$781.07