Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.16 / $787.00 / $5,320.00	Facility		$395.16	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.16 / $462.18 / $558.97	Professional		$395.16	$462.18	$558.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $402.66 / $575.01	Professional		$342.26	$402.66	$575.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.24 / $618.05 / $712.98	Facility		$431.24	$618.05	$712.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.54 / $618.05 / $882.94	Professional		$431.54	$618.05	$882.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.70 / $545.70 / $545.70	Facility		$545.70	$545.70	$545.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.96 / $636.24 / $884.40	Professional		$449.96	$636.24	$884.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $573.91	Professional		$32.34	$32.34	$573.91
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.78 / $611.47 / $937.79	Professional		$446.78	$611.47	$937.79