Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.33 / $535.00 / $5,320.00	Facility		$212.33	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $270.68 / $361.92	Professional		$186.94	$270.68	$361.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $343.22 / $602.00	Professional		$180.21	$343.22	$602.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.54 / $288.95 / $333.34	Facility		$212.54	$288.95	$333.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.62 / $299.27 / $561.23	Professional		$245.62	$299.27	$561.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.19 / $379.78 / $379.78	Facility		$351.19	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $373.51 / $624.55	Professional		$227.07	$373.51	$624.55
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $377.16 / $627.17	Professional		$273.58	$377.16	$627.17