Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.04 / $787.00 / $5,320.00	Facility		$348.04	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $415.19 / $689.53	Professional		$348.04	$415.19	$689.53
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 $356.54 / $432.05 / $614.91	Professional		$356.54	$432.05	$614.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $543.66 / $627.15	Facility		$379.44	$543.66	$627.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.59 / $543.66 / $776.66	Professional		$379.59	$543.66	$776.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $485.41 / $680.75	Facility		$485.41	$485.41	$680.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.04 / $572.04 / $881.13	Professional		$413.04	$572.04	$881.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $504.83	Professional		$32.34	$32.34	$504.83
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 $399.77 / $568.59 / $820.80	Professional		$399.77	$568.59	$820.80