Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.41 / $787.00 / $5,320.00	Facility		$292.41	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.41 / $342.45 / $524.28	Professional		$292.41	$342.45	$524.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $340.17 / $501.47	Professional		$280.72	$340.17	$501.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.10 / $456.62 / $526.76	Facility		$320.10	$456.62	$526.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $456.62 / $652.32	Professional		$326.16	$456.62	$652.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $516.25	Facility		$405.47	$405.47	$516.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $491.58 / $711.56	Professional		$334.24	$491.58	$711.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $424.01	Professional		$32.34	$32.34	$424.01
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 $313.98 / $456.50 / $647.25	Professional		$313.98	$456.50	$647.25