Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.55 / $557.00 / $5,320.00	Facility		$437.55	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.54 / $501.94 / $729.45	Professional		$402.54	$501.94	$729.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $405.65 / $627.10	Professional		$337.66	$405.65	$627.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.99 / $561.34 / $647.55	Facility		$397.99	$561.34	$647.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.80 / $565.35 / $902.16	Professional		$439.80	$565.35	$902.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.71 / $737.77 / $737.77	Facility		$439.71	$737.77	$737.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.89 / $687.49 / $1,120.94	Professional		$434.89	$687.49	$1,120.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $141.83 / $542.78	Professional		$32.34	$141.83	$542.78
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $693.51 / $1,122.42	Professional		$499.42	$693.51	$1,122.42