Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.41 / $604.66 / $5,320.00	Facility		$232.41	$604.66	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.53 / $337.85 / $525.17	Professional		$254.53	$337.85	$525.17
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 $198.51 / $240.83 / $437.49	Professional		$198.51	$240.83	$437.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.70 / $363.40 / $419.20	Facility		$257.70	$363.40	$419.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.57 / $365.99 / $584.03	Professional		$259.57	$365.99	$584.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.57 / $477.61 / $477.61	Facility		$458.57	$477.61	$477.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $496.35 / $843.01	Professional		$319.77	$496.35	$843.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $481.64	Professional		$32.34	$32.34	$481.64
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 $372.55 / $507.85 / $826.07	Professional		$372.55	$507.85	$826.07