Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $787.00 / $5,320.00	Facility		$213.00	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $249.27 / $451.21	Professional		$213.00	$249.27	$451.21
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 $206.29 / $247.92 / $380.37	Professional		$206.29	$247.92	$380.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.77 / $330.37 / $381.10	Facility		$232.77	$330.37	$381.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.67 / $330.37 / $471.96	Professional		$230.67	$330.37	$471.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $444.30	Facility		$293.49	$293.49	$444.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $357.15 / $534.96	Professional		$256.50	$357.15	$534.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.77	Professional		$32.34	$32.34	$306.77
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 $226.36 / $320.19 / $516.58	Professional		$226.36	$320.19	$516.58