Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.86 / $392.13 / $8,229.00	Facility		$317.86	$392.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.04 / $317.86 / $374.08	Professional		$281.04	$317.86	$374.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.66 / $363.13 / $501.95	Professional		$308.66	$363.13	$501.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $303.97 / $396.02	Facility		$75.59	$303.97	$396.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $89.60 / $334.36	Professional		$56.00	$89.60	$334.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $336.95 / $417.46	Facility		$336.95	$336.95	$417.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $464.89 / $884.32	Professional		$303.76	$464.89	$884.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.02 / $378.72	Professional		$32.34	$73.02	$378.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,818.00 / $16,703.00	Facility		$1,300.00	$6,818.00	$16,703.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.97 / $465.82 / $648.47	Professional		$316.97	$465.82	$648.47