Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.56 / $461.58 / $5,320.00	Facility		$199.56	$461.58	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $277.63 / $417.38	Professional		$192.15	$277.63	$417.38
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 $180.99 / $256.66 / $413.04	Professional		$180.99	$256.66	$413.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.05 / $253.99 / $293.00	Facility		$185.05	$253.99	$293.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.89 / $290.27 / $458.07	Professional		$215.89	$290.27	$458.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.81 / $333.81 / $388.65	Facility		$333.81	$333.81	$388.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $349.72 / $596.00	Professional		$223.60	$349.72	$596.00
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 $277.68 / $393.92 / $609.76	Professional		$277.68	$393.92	$609.76