Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.11 / $525.94 / $5,320.00	Facility		$282.11	$525.94	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $409.33 / $557.19	Professional		$282.77	$409.33	$557.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $342.01 / $483.28	Professional		$260.11	$342.01	$483.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.08 / $369.33 / $426.06	Facility		$269.08	$369.33	$426.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $382.52 / $593.57	Professional		$313.93	$382.52	$593.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.84 / $485.41 / $485.41	Facility		$135.84	$485.41	$485.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.61 / $466.76 / $751.40	Professional		$319.61	$466.76	$751.40
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 $367.06 / $568.04 / $806.38	Professional		$367.06	$568.04	$806.38