Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $729.17 / $5,320.00	Facility		$294.27	$729.17	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.48 / $448.42 / $668.05	Professional		$314.48	$448.42	$668.05
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 $239.82 / $295.08 / $543.07	Professional		$239.82	$295.08	$543.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.17 / $450.21 / $519.35	Facility		$317.17	$450.21	$519.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.67 / $451.02 / $723.56	Professional		$352.67	$451.02	$723.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.99 / $591.71 / $591.71	Facility		$526.99	$591.71	$591.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.86 / $600.10 / $1,013.73	Professional		$400.86	$600.10	$1,013.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $599.12	Professional		$32.34	$32.34	$599.12
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 $470.58 / $650.76 / $987.82	Professional		$470.58	$650.76	$987.82