Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.20 / $988.00 / $4,387.59	Facility		$351.20	$988.00	$4,387.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.46 / $740.98 / $1,157.06	Professional		$342.46	$740.98	$1,157.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,315.00 / $10,277.00	Facility		$1,066.00	$2,315.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $711.28 / $1,200.51	Professional		$298.41	$711.28	$1,200.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.66 / $446.98 / $515.62	Facility		$325.66	$446.98	$515.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.16 / $462.94 / $1,124.85	Professional		$367.16	$462.94	$1,124.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $587.46 / $587.46	Facility		$350.42	$587.46	$587.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.79 / $857.45 / $1,748.92	Professional		$359.79	$857.45	$1,748.92
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 $856.10 / $1,225.04 / $1,672.35	Professional		$856.10	$1,225.04	$1,672.35