Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.90 / $524.47 / $7,833.08	Facility		$233.90	$524.47	$7,833.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $255.76 / $331.45	Professional		$202.72	$255.76	$331.45
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 $186.14 / $302.08 / $492.94	Professional		$186.14	$302.08	$492.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.45 / $300.97 / $347.19	Facility		$220.45	$300.97	$347.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $307.27 / $483.71	Professional		$236.48	$307.27	$483.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.07 / $395.56 / $395.56	Facility		$303.07	$395.56	$395.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $304.52 / $523.24	Professional		$226.16	$304.52	$523.24
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 $224.53 / $364.88 / $534.91	Professional		$224.53	$364.88	$534.91