Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.55 / $860.00 / $8,229.00	Facility		$249.55	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $254.97 / $359.39	Professional		$237.95	$254.97	$359.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,315.00 / $4,423.00	Facility		$1,066.00	$2,315.00	$4,423.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.06 / $263.60 / $340.01	Professional		$224.06	$263.60	$340.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $333.28 / $384.47	Facility		$242.82	$333.28	$384.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.06 / $333.28 / $476.12	Professional		$263.06	$333.28	$476.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $293.63 / $293.63	Facility		$293.63	$293.63	$293.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $343.18 / $547.20	Professional		$248.99	$343.18	$547.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $261.87	Professional		$32.34	$32.34	$261.87
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.15 / $336.56 / $543.41	Professional		$244.15	$336.56	$543.41