Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $5,495.41	Facility		$457.09	$891.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $724.44	Professional		$323.59	$457.09	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $446.68	Professional		$295.12	$346.74	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $501.19	Facility		$302.00	$416.87	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $512.86	Professional		$281.84	$436.52	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $575.44	Facility		$34.67	$575.44	$575.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	AS	$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $2,238.72	Professional		$354.81	$575.44	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $758.58	Professional		$331.13	$478.63	$758.58