Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.57 / $766.70 / $5,116.32	Facility		$393.57	$766.70	$5,116.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $462.42 / $670.60	Professional		$317.49	$462.42	$670.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $294.57 / $497.86	Professional		$181.22	$294.57	$497.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.41 / $492.60 / $568.25	Facility		$349.41	$492.60	$568.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.86 / $496.12 / $791.69	Professional		$351.86	$496.12	$791.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.34 / $647.41 / $647.41	Facility		$402.34	$647.41	$647.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.97 / $537.16 / $938.79	Professional		$367.97	$537.16	$938.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $621.52	Professional		$32.34	$32.34	$621.52
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 $399.92 / $613.15 / $969.52	Professional		$399.92	$613.15	$969.52