Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.30 / $860.00 / $11,855.56	Facility		$236.30	$860.00	$11,855.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $244.64 / $372.17	Professional		$236.30	$244.64	$372.17
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 $219.94 / $266.52 / $399.17	Professional		$219.94	$266.52	$399.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.28 / $320.63 / $369.87	Facility		$234.28	$320.63	$369.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $320.63 / $458.04	Professional		$257.63	$320.63	$458.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.41 / $281.41 / $310.64	Facility		$281.41	$281.41	$310.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.34 / $363.44 / $543.58	Professional		$255.34	$363.44	$543.58
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 $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 $238.30 / $337.86 / $466.69	Professional		$238.30	$337.86	$466.69