Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.75 / $557.00 / $7,082.48	Facility		$341.75	$557.00	$7,082.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.81 / $405.50 / $613.50	Professional		$279.81	$405.50	$613.50
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 $218.53 / $263.06 / $420.48	Professional		$218.53	$263.06	$420.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.31 / $434.95 / $501.75	Facility		$304.31	$434.95	$501.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $438.06 / $699.03	Professional		$342.38	$438.06	$699.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.95 / $571.65 / $571.65	Facility		$331.95	$571.65	$571.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $495.43 / $825.74	Professional		$316.51	$495.43	$825.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $565.41	Professional		$32.34	$32.34	$565.41
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 $387.74 / $518.55 / $853.70	Professional		$387.74	$518.55	$853.70