Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $545.59 / $5,320.00	Facility		$211.18	$545.59	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $291.77 / $533.61	Professional		$193.51	$291.77	$533.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $211.48 / $332.37	Professional		$178.80	$211.48	$332.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.01 / $285.80 / $337.26	Facility		$201.01	$285.80	$337.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $292.04 / $682.09	Professional		$224.55	$292.04	$682.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.93 / $465.76 / $862.34	Professional		$243.93	$465.76	$862.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $519.47	Professional		$32.34	$32.34	$519.47
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.37 / $614.65 / $935.43	Professional		$438.37	$614.65	$935.43