Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.31 / $557.00 / $5,320.00	Facility		$312.31	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $388.69 / $596.16	Professional		$267.57	$388.69	$596.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.44 / $275.61 / $440.10	Professional		$227.44	$275.61	$440.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.11 / $397.49 / $458.53	Facility		$277.11	$397.49	$458.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $400.33 / $638.82	Professional		$283.92	$400.33	$638.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.70 / $522.41 / $522.41	Facility		$309.70	$522.41	$522.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.51 / $476.32 / $760.96	Professional		$309.51	$476.32	$760.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $503.71	Professional		$32.34	$32.34	$503.71
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 $365.30 / $509.24 / $782.54	Professional		$365.30	$509.24	$782.54