Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $912.88 / $6,996.76	Facility		$205.91	$912.88	$6,996.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $456.58 / $949.76	Professional		$200.52	$456.58	$949.76
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 $157.66 / $536.62 / $996.93	Professional		$157.66	$536.62	$996.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.93 / $262.07 / $302.31	Facility		$190.93	$262.07	$302.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.27 / $271.43 / $989.88	Professional		$215.27	$271.43	$989.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $344.43 / $346.89	Facility		$344.43	$344.43	$346.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $753.96 / $1,743.10	Professional		$198.74	$753.96	$1,743.10
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 $700.34 / $1,174.48 / $1,511.59	Professional		$700.34	$1,174.48	$1,511.59