Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.74 / $712.64 / $5,320.00	Facility		$258.74	$712.64	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.44 / $476.31 / $796.53	Professional		$259.44	$476.31	$796.53
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 $189.14 / $437.63 / $1,077.00	Professional		$189.14	$437.63	$1,077.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.13 / $339.19 / $391.29	Facility		$247.13	$339.19	$391.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.31 / $387.65 / $1,021.28	Professional		$288.31	$387.65	$1,021.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $445.80 / $445.80	Facility		$262.82	$445.80	$445.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $578.37 / $1,695.35	Professional		$276.64	$578.37	$1,695.35
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 $568.45 / $921.80 / $1,659.46	Professional		$568.45	$921.80	$1,659.46