Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.63 / $787.00 / $5,320.00	Facility		$307.63	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.63 / $360.38 / $626.92	Professional		$307.63	$360.38	$626.92
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 $303.26 / $367.48 / $530.09	Professional		$303.26	$367.48	$530.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.85 / $480.68 / $554.50	Facility		$336.85	$480.68	$554.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.61 / $480.68 / $686.68	Professional		$335.61	$480.68	$686.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $617.32	Facility		$426.66	$426.66	$617.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.66 / $519.42 / $759.63	Professional		$355.66	$519.42	$759.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $446.34	Professional		$32.34	$32.34	$446.34
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 $345.60 / $482.49 / $700.36	Professional		$345.60	$482.49	$700.36