Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.43 / $489.85 / $5,320.00	Facility		$194.43	$489.85	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $296.48 / $462.17	Professional		$198.74	$296.48	$462.17
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 $167.64 / $222.31 / $365.44	Professional		$167.64	$222.31	$365.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $305.10 / $351.96	Facility		$216.63	$305.10	$351.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $308.72 / $490.34	Professional		$239.72	$308.72	$490.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.06 / $400.99 / $400.99	Facility		$394.06	$400.99	$400.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.47 / $424.80 / $716.97	Professional		$282.47	$424.80	$716.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $422.33	Professional		$32.34	$32.34	$422.33
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 $327.02 / $447.38 / $711.75	Professional		$327.02	$447.38	$711.75