Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $676.51 / $5,320.00	Facility		$290.58	$676.51	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.22 / $445.16 / $597.39	Professional		$280.22	$445.16	$597.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.27 / $266.05 / $437.78	Professional		$189.27	$266.05	$437.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $456.96 / $527.14	Facility		$332.93	$456.96	$527.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.30 / $460.22 / $795.80	Professional		$360.30	$460.22	$795.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $600.58 / $666.14	Facility		$600.58	$600.58	$666.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $534.04 / $998.85	Professional		$332.39	$534.04	$998.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.78	Professional		$32.34	$32.34	$671.78
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 $429.65 / $627.39 / $1,016.32	Professional		$429.65	$627.39	$1,016.32