Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $637.00 / $8,067.26	Facility		$277.61	$637.00	$8,067.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $345.17 / $518.09	Professional		$237.75	$345.17	$518.09
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 $179.52 / $219.35 / $388.53	Professional		$179.52	$219.35	$388.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.28 / $353.32 / $407.57	Facility		$250.28	$353.32	$407.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $355.84 / $567.83	Professional		$276.57	$355.84	$567.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.28 / $464.36 / $464.36	Facility		$426.28	$464.36	$464.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $442.73 / $789.49	Professional		$302.33	$442.73	$789.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $485.55	Professional		$32.34	$32.34	$485.55
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 $359.33 / $484.72 / $778.74	Professional		$359.33	$484.72	$778.74