Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.63 / $860.00 / $5,320.00	Facility		$444.63	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.81 / $515.20 / $890.24	Professional		$442.81	$515.20	$890.24
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 $328.22 / $424.88 / $679.72	Professional		$328.22	$424.88	$679.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.52 / $685.66 / $790.97	Facility		$476.52	$685.66	$790.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $538.39 / $685.66 / $979.52	Professional		$538.39	$685.66	$979.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.11 / $601.70 / $601.70	Facility		$403.11	$601.70	$601.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.84 / $610.11 / $1,001.19	Professional		$407.84	$610.11	$1,001.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $636.69	Professional		$32.34	$32.34	$636.69
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 $414.14 / $607.61 / $993.33	Professional		$414.14	$607.61	$993.33