Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.33 / $513.33 / $5,320.00	Facility		$313.33	$513.33	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.73 / $409.54 / $515.39	Professional		$275.73	$409.54	$515.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $324.43 / $465.50	Professional		$224.34	$324.43	$465.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.30 / $413.61 / $527.36	Facility		$315.30	$413.61	$527.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.37 / $504.48 / $933.32	Professional		$337.37	$504.48	$933.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.03 / $563.74 / $1,587.00	Facility		$239.03	$563.74	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.79 / $466.87 / $853.03	Professional		$311.79	$466.87	$853.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $606.66	Professional		$32.34	$32.34	$606.66
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,945.00 / $5,995.00	Facility		$800.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.32 / $503.46 / $818.34	Professional		$385.32	$503.46	$818.34