Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $557.00 / $6,476.50	Facility		$219.25	$557.00	$6,476.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $348.37 / $623.15	Professional		$219.25	$348.37	$623.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,059.00	Facility		$1,215.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $418.52 / $659.17	Professional		$355.74	$418.52	$659.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $261.70 / $307.87	Facility		$192.30	$261.70	$307.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $271.31 / $432.95	Professional		$220.80	$271.31	$432.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $354.05 / $466.30	Facility		$174.38	$354.05	$466.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.13 / $556.01 / $1,000.92	Professional		$222.13	$556.01	$1,000.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.71	Professional		$32.34	$32.34	$242.71
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $530.27 / $924.20	Professional		$411.95	$530.27	$924.20