Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.03 / $569.01 / $5,320.00	Facility		$255.03	$569.01	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $387.68 / $569.01	Professional		$269.30	$387.68	$569.01
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 $208.66 / $252.73 / $455.60	Professional		$208.66	$252.73	$455.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.25 / $403.66 / $465.65	Facility		$285.25	$403.66	$465.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $409.89 / $648.74	Professional		$317.16	$409.89	$648.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.64 / $530.53 / $530.53	Facility		$483.64	$530.53	$530.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.11 / $501.84 / $856.85	Professional		$350.11	$501.84	$856.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $123.84 / $454.47	Professional		$32.34	$123.84	$454.47
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 $396.72 / $526.26 / $844.38	Professional		$396.72	$526.26	$844.38