Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.51 / $568.57 / $5,320.00	Facility		$395.51	$568.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $496.98 / $603.54	Professional		$348.05	$496.98	$603.54
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 $318.12 / $446.29 / $610.17	Professional		$318.12	$446.29	$610.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.14 / $478.72 / $558.89	Facility		$393.14	$478.72	$558.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $557.91 / $1,078.94	Professional		$423.60	$557.91	$1,078.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.45 / $709.21 / $1,587.00	Facility		$421.45	$709.21	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.39 / $572.34 / $1,033.72	Professional		$412.39	$572.34	$1,033.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $701.31	Professional		$32.34	$32.34	$701.31
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $1,895.00	Facility		$59.00	$668.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.66 / $598.13 / $971.64	Professional		$465.66	$598.13	$971.64