Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.08 / $581.15 / $5,320.00	Facility		$334.08	$581.15	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $395.39 / $538.30	Professional		$285.56	$395.39	$538.30
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 $215.05 / $263.91 / $491.22	Professional		$215.05	$263.91	$491.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.37 / $425.19 / $490.49	Facility		$300.37	$425.19	$490.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $428.23 / $683.35	Professional		$334.08	$428.23	$683.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.30 / $558.83 / $558.83	Facility		$486.30	$558.83	$558.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.74 / $529.76 / $906.09	Professional		$370.74	$529.76	$906.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $135.47 / $476.37	Professional		$32.34	$135.47	$476.37
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 $412.54 / $576.28 / $900.47	Professional		$412.54	$576.28	$900.47