Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $535.00 / $5,320.00	Facility		$271.80	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.27 / $339.68 / $449.28	Professional		$242.27	$339.68	$449.28
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 $333.26 / $427.40 / $559.20	Professional		$333.26	$427.40	$559.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $373.00 / $430.29	Facility		$305.73	$373.00	$430.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.05 / $420.58 / $599.47	Professional		$317.05	$420.58	$599.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $490.23 / $490.23	Facility		$428.89	$490.23	$490.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $509.73 / $866.91	Professional		$333.18	$509.73	$866.91
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 $391.00 / $950.00 / $20,243.00	Facility		$391.00	$950.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $522.21 / $747.98	Professional		$365.84	$522.21	$747.98