Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $535.60 / $5,377.99	Facility		$153.33	$535.60	$5,377.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $270.99 / $459.85	Professional		$131.82	$270.99	$459.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,654.00 / $10,277.00	Facility		$1,421.00	$2,654.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $274.48 / $505.76	Professional		$122.04	$274.48	$505.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $171.74 / $202.41	Facility		$122.67	$171.74	$202.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $276.30 / $364.21	Professional		$159.47	$276.30	$364.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.71 / $225.71 / $556.12	Facility		$225.71	$225.71	$556.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $286.54 / $534.44	Professional		$147.41	$286.54	$534.44
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 $268.89 / $388.64 / $561.39	Professional		$268.89	$388.64	$561.39