Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.50 / $387.51 / $5,320.00	Facility		$223.50	$387.51	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $323.82 / $408.84	Professional		$224.90	$323.82	$408.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.41 / $305.88 / $436.07	Professional		$218.41	$305.88	$436.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $298.70 / $348.74	Facility		$245.32	$298.70	$348.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $347.55 / $704.56	Professional		$263.02	$347.55	$704.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.54 / $442.54 / $3,236.00	Facility		$442.54	$442.54	$3,236.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $44.25 / $44.25 / $44.25	Facility	AS	$44.25	$44.25	$44.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $365.38 / $717.32	Professional		$250.12	$365.38	$717.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $457.96	Professional		$32.34	$32.34	$457.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,326.00	Facility		$50.00	$597.00	$3,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $414.69 / $669.73	Professional		$330.58	$414.69	$669.73