Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.52 / $557.00 / $5,320.00	Facility		$309.52	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $386.84 / $490.74	Professional		$301.30	$386.84	$490.74
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 $288.14 / $349.18 / $449.23	Professional		$288.14	$349.18	$449.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.54 / $432.98 / $499.47	Facility		$318.54	$432.98	$499.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.84 / $448.44 / $695.86	Professional		$340.84	$448.44	$695.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.05 / $569.05 / $569.05	Facility		$569.05	$569.05	$569.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.91 / $56.91 / $56.91	Facility	AS	$56.91	$56.91	$56.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.18 / $514.00 / $865.95	Professional		$353.18	$514.00	$865.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $411.79 / $529.44 / $841.47	Professional		$411.79	$529.44	$841.47