Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.07 / $675.02 / $5,320.00	Facility		$269.07	$675.02	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $369.55 / $568.79	Professional		$285.52	$369.55	$568.79
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 $271.08 / $330.42 / $512.29	Professional		$271.08	$330.42	$512.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $430.39 / $496.49	Facility		$300.68	$430.39	$496.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.91 / $443.36 / $691.70	Professional		$337.91	$443.36	$691.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.75 / $565.65 / $565.65	Facility		$562.75	$565.65	$565.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.68 / $562.85 / $902.90	Professional		$373.68	$562.85	$902.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $110.13 / $455.18	Professional		$32.34	$110.13	$455.18
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 $400.72 / $564.50 / $873.50	Professional		$400.72	$564.50	$873.50