Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $787.00 / $8,229.00	Facility		$251.42	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $262.63 / $324.11	Professional		$251.42	$262.63	$324.11
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 $241.02 / $292.07 / $427.92	Professional		$241.02	$292.07	$427.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.63 / $343.52 / $396.26	Facility		$250.63	$343.52	$396.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $343.52 / $490.74	Professional		$268.17	$343.52	$490.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.91 / $300.91 / $319.20	Facility		$300.91	$300.91	$319.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.48 / $374.88 / $574.14	Professional		$256.48	$374.88	$574.14
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $360.98 / $518.60	Professional		$245.00	$360.98	$518.60