Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.17 / $787.00 / $3,740.00	Facility		$209.17	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $248.32 / $338.92	Professional		$209.17	$248.32	$338.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $219.89 / $373.59	Professional		$181.46	$219.89	$373.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.12 / $336.46 / $388.13	Facility		$236.12	$336.46	$388.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $336.46 / $480.66	Professional		$261.77	$336.46	$480.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $418.87	Facility		$293.24	$293.24	$418.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $439.20 / $859.64	Professional		$298.20	$439.20	$859.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $312.43	Professional		$32.34	$32.34	$312.43
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 $263.33 / $463.46 / $813.66	Professional		$263.33	$463.46	$813.66