Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.20 / $448.06 / $5,320.00	Facility		$285.20	$448.06	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $343.88 / $448.06	Professional		$269.24	$343.88	$448.06
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 $245.62 / $311.20 / $491.06	Professional		$245.62	$311.20	$491.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.98 / $362.98 / $418.72	Facility		$265.98	$362.98	$418.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $367.85 / $583.36	Professional		$298.16	$367.85	$583.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.47 / $477.06 / $477.06	Facility		$336.47	$477.06	$477.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.14 / $424.74 / $721.21	Professional		$314.14	$424.74	$721.21
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 $343.76 / $478.97 / $708.06	Professional		$343.76	$478.97	$708.06