Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.76 / $489.13 / $5,320.00	Facility		$283.76	$489.13	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $399.64 / $471.62	Professional		$249.71	$399.64	$471.62
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 $225.52 / $319.26 / $484.60	Professional		$225.52	$319.26	$484.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.25 / $343.68 / $401.24	Facility		$282.25	$343.68	$401.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.49 / $442.75 / $889.32	Professional		$270.49	$442.75	$889.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $509.16 / $1,587.00	Facility		$294.89	$509.16	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $433.67 / $833.63	Professional		$289.20	$433.67	$833.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.05	Professional		$32.34	$32.34	$578.05
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.03 / $442.41 / $776.45	Professional		$356.03	$442.41	$776.45