Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.55 / $637.00 / $2,747.00	Facility		$289.55	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $411.90 / $593.10	Professional		$320.37	$411.90	$593.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $300.86 / $552.58	Professional		$246.17	$300.86	$552.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.45 / $452.89 / $522.44	Facility		$320.45	$452.89	$522.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.84 / $456.12 / $727.85	Professional		$355.84	$456.12	$727.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.11 / $595.22 / $595.22	Facility		$566.11	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.55 / $616.84 / $1,008.00	Professional		$398.55	$616.84	$1,008.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $591.28	Professional		$32.34	$32.34	$591.28
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $635.22 / $1,009.87	Professional		$490.81	$635.22	$1,009.87