Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $515.79 / $8,229.00	Facility		$273.27	$515.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $379.51 / $515.79	Professional		$273.27	$379.51	$515.79
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 $245.48 / $347.31 / $544.19	Professional		$245.48	$347.31	$544.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.12 / $373.51 / $430.86	Facility		$272.12	$373.51	$430.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $379.25 / $600.28	Professional		$294.80	$379.25	$600.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $490.89 / $490.89	Facility		$490.89	$490.89	$490.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.62 / $438.45 / $788.58	Professional		$296.62	$438.45	$788.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $425.47	Professional		$32.34	$32.34	$425.47
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.66 / $502.12 / $825.29	Professional		$393.66	$502.12	$825.29