Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.27 / $524.69 / $5,320.00	Facility		$201.27	$524.69	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.27 / $218.97 / $372.34	Professional		$201.27	$218.97	$372.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.58 / $229.73 / $386.36	Professional		$189.58	$229.73	$386.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.87 / $277.48 / $320.08	Facility		$202.87	$277.48	$320.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $277.48 / $396.40	Professional		$193.74	$277.48	$396.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $242.28 / $441.80	Facility		$242.28	$242.28	$441.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $302.24 / $457.67	Professional		$206.20	$302.24	$457.67
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 $211.88 / $290.93 / $402.73	Professional		$211.88	$290.93	$402.73