Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $708.49 / $5,320.00	Facility		$178.13	$708.49	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $444.55 / $871.99	Professional		$173.30	$444.55	$871.99
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 $184.45 / $484.00 / $987.25	Professional		$184.45	$484.00	$987.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.18 / $226.72 / $261.54	Facility		$165.18	$226.72	$261.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $264.00 / $948.81	Professional		$186.23	$264.00	$948.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $297.97 / $374.31	Facility		$297.97	$297.97	$374.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $696.91 / $1,778.80	Professional		$211.23	$696.91	$1,778.80
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 $623.35 / $1,078.53 / $1,599.45	Professional		$623.35	$1,078.53	$1,599.45