Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $680.15 / $5,320.00	Facility		$372.76	$680.15	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.76 / $575.07 / $750.16	Professional		$372.76	$575.07	$750.16
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 $224.03 / $270.77 / $471.98	Professional		$224.03	$270.77	$471.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.76 / $551.50 / $636.20	Facility		$397.76	$551.50	$636.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $552.49 / $931.94	Professional		$393.93	$552.49	$931.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.24 / $724.83 / $724.83	Facility		$269.24	$724.83	$724.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $640.91 / $1,131.44	Professional		$361.23	$640.91	$1,131.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $803.82	Professional		$32.34	$32.34	$803.82
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.08 / $759.98 / $1,250.89	Professional		$550.08	$759.98	$1,250.89