Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.31 / $557.00 / $5,320.00	Facility		$299.31	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $368.73 / $530.66	Professional		$265.16	$368.73	$530.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,335.00 / $4,389.00	Facility		$1,359.00	$2,335.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $274.18 / $429.84	Professional		$201.64	$274.18	$429.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $360.75 / $421.17	Facility		$296.27	$360.75	$421.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $421.09 / $806.72	Professional		$283.92	$421.09	$806.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.55 / $534.45 / $1,587.00	Facility		$189.55	$534.45	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.74 / $384.98 / $679.04	Professional		$266.74	$384.98	$679.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $524.37	Professional		$32.34	$32.34	$524.37
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.68 / $421.79 / $721.10	Professional		$330.68	$421.79	$721.10