Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.72 / $348.35 / $5,320.00	Facility		$217.72	$348.35	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $298.45 / $377.34	Professional		$217.72	$298.45	$377.34
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 $205.72 / $294.17 / $440.10	Professional		$205.72	$294.17	$440.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.96 / $295.33 / $340.71	Facility		$215.96	$295.33	$340.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.04 / $305.89 / $474.66	Professional		$251.04	$305.89	$474.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $388.17 / $388.17	Facility		$283.52	$388.17	$388.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $377.96 / $650.73	Professional		$242.92	$377.96	$650.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $458.64 / $675.56	Professional		$331.88	$458.64	$675.56