Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.04 / $557.00 / $5,320.00	Facility		$362.04	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $445.37 / $554.84	Professional		$318.58	$445.37	$554.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $401.06 / $586.70	Professional		$272.89	$401.06	$586.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.48 / $437.72 / $511.02	Facility		$359.48	$437.72	$511.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $511.02 / $1,030.52	Professional		$387.48	$511.02	$1,030.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.80 / $648.47 / $1,587.00	Facility		$371.80	$648.47	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.65 / $531.41 / $959.19	Professional		$360.65	$531.41	$959.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $669.84	Professional		$32.34	$32.34	$669.84
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.29 / $533.38 / $898.14	Professional		$410.29	$533.38	$898.14