Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.72 / $860.00 / $4,423.25	Facility		$354.72	$860.00	$4,423.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.25 / $414.16 / $573.91	Professional		$356.25	$414.16	$573.91
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 $351.96 / $429.00 / $549.02	Professional		$351.96	$429.00	$549.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.77 / $552.08 / $636.86	Facility		$382.77	$552.08	$636.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.47 / $552.08 / $788.68	Professional		$385.47	$552.08	$788.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $572.84 / $836.78	Professional		$402.60	$572.84	$836.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $512.64	Professional		$32.34	$32.34	$512.64
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 $410.97 / $585.63 / $862.63	Professional		$410.97	$585.63	$862.63