Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $378.22 / $5,320.00	Facility		$263.00	$378.22	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $358.26 / $406.83	Professional		$263.00	$358.26	$406.83
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 $193.11 / $370.91 / $543.16	Professional		$193.11	$370.91	$543.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.68 / $361.03 / $416.48	Facility		$263.68	$361.03	$416.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $369.90 / $580.23	Professional		$283.67	$369.90	$580.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.02 / $474.50 / $474.50	Facility		$278.02	$474.50	$474.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $505.07 / $943.77	Professional		$295.68	$505.07	$943.77
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 $395.72 / $615.44 / $795.95	Professional		$395.72	$615.44	$795.95