Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $860.00 / $8,229.00	Facility		$181.74	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $270.17 / $927.25	Professional		$150.97	$270.17	$927.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,271.00 / $2,292.00 / $4,229.00	Facility		$1,271.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $644.23 / $1,093.33	Professional		$152.63	$644.23	$1,093.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $231.31 / $266.83	Facility		$168.53	$231.31	$266.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $268.74 / $1,255.16	Professional		$190.00	$268.74	$1,255.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Facility		$304.00	$304.00	$304.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.58 / $826.34 / $1,747.54	Professional		$210.58	$826.34	$1,747.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.26 / $1,254.31 / $1,715.96	Professional		$775.26	$1,254.31	$1,715.96