Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.67 / $787.00 / $5,320.00	Facility		$298.67	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.67 / $347.42 / $647.04	Professional		$298.67	$347.42	$647.04
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 $333.16 / $404.17 / $613.50	Professional		$333.16	$404.17	$613.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $461.45 / $532.32	Facility		$312.70	$461.45	$532.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.61 / $461.45 / $659.22	Professional		$329.61	$461.45	$659.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $405.65 / $579.35	Facility		$405.65	$405.65	$579.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.77 / $560.04 / $827.74	Professional		$368.77	$560.04	$827.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $428.49	Professional		$32.34	$32.34	$428.49
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 $352.69 / $502.58 / $740.30	Professional		$352.69	$502.58	$740.30