Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.28 / $537.53 / $5,320.00	Facility		$333.28	$537.53	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.29 / $441.04 / $523.01	Professional		$293.29	$441.04	$523.01
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 $268.30 / $391.85 / $561.79	Professional		$268.30	$391.85	$561.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.61 / $402.57 / $469.99	Facility		$330.61	$402.57	$469.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $475.56 / $977.32	Professional		$294.80	$475.56	$977.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.78 / $596.40 / $1,587.00	Facility		$329.78	$596.40	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $503.48 / $938.06	Professional		$335.70	$503.48	$938.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $635.26	Professional		$32.34	$32.34	$635.26
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 $396.90 / $540.15 / $875.85	Professional		$396.90	$540.15	$875.85