Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $650.79 / $5,320.00	Facility		$371.20	$650.79	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.92 / $434.81 / $675.40	Professional		$317.92	$434.81	$675.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $328.62 / $511.50	Professional		$271.19	$328.62	$511.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.22 / $472.43 / $544.98	Facility		$328.22	$472.43	$544.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.20 / $475.80 / $759.26	Professional		$371.20	$475.80	$759.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.40 / $620.91 / $620.91	Facility		$351.40	$620.91	$620.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.02 / $560.26 / $862.40	Professional		$359.02	$560.26	$862.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $586.57	Professional		$32.34	$32.34	$586.57
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 $399.79 / $577.90 / $902.93	Professional		$399.79	$577.90	$902.93