Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $637.00 / $8,229.00	Facility		$367.50	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $240.00	Professional		$170.00	$200.00	$240.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $263.99 / $944.23	Facility		$234.66	$263.99	$944.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $254.21 / $322.64	Professional		$202.79	$254.21	$322.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.00 / $1,829.00 / $1,829.00	Facility		$1,829.00	$1,829.00	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.51 / $2,493.59 / $2,493.59	Professional		$407.51	$2,493.59	$2,493.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $195.54	Professional		$45.00	$45.00	$195.54
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00