Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $527.33 / $5,320.00	Facility		$212.68	$527.33	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $320.30 / $491.49	Professional		$233.61	$320.30	$491.49
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 $185.71 / $226.30 / $438.37	Professional		$185.71	$226.30	$438.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.02 / $332.49 / $383.55	Facility		$236.02	$332.49	$383.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $336.46 / $534.35	Professional		$237.49	$336.46	$534.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.96 / $436.98 / $436.98	Facility		$428.96	$436.98	$436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $469.80 / $824.89	Professional		$312.60	$469.80	$824.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $132.79 / $380.13	Professional		$32.34	$132.79	$380.13
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 $371.00 / $524.84 / $820.04	Professional		$371.00	$524.84	$820.04