Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.57 / $860.00 / $5,320.00	Facility		$277.57	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $449.89 / $620.35	Professional		$271.23	$449.89	$620.35
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 $256.93 / $368.69 / $616.50	Professional		$256.93	$368.69	$616.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $353.28 / $407.53	Facility		$257.39	$353.28	$407.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $395.56 / $623.19	Professional		$300.27	$395.56	$623.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.31 / $464.31 / $774.81	Facility		$464.31	$464.31	$774.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.16 / $524.85 / $887.11	Professional		$318.16	$524.85	$887.11
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 $419.88 / $629.02 / $874.01	Professional		$419.88	$629.02	$874.01