Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.14 / $787.00 / $5,320.00	Facility		$424.14	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.14 / $494.15 / $644.91	Professional		$424.14	$494.15	$644.91
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 $423.90 / $509.92 / $755.85	Professional		$423.90	$509.92	$755.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.73 / $657.12 / $758.02	Facility		$450.73	$657.12	$758.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $657.12 / $938.74	Professional		$469.37	$657.12	$938.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $576.10 / $635.04	Facility		$576.10	$576.10	$635.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.65 / $690.53 / $1,048.57	Professional		$483.65	$690.53	$1,048.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.17	Professional		$32.34	$32.34	$610.17
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 $465.58 / $665.12 / $1,009.04	Professional		$465.58	$665.12	$1,009.04