Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.08 / $533.53 / $5,320.00	Facility		$373.08	$533.53	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.08 / $458.98 / $568.74	Professional		$373.08	$458.98	$568.74
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 $319.43 / $388.04 / $594.70	Professional		$319.43	$388.04	$594.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.22 / $584.98 / $674.80	Facility		$411.22	$584.98	$674.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $584.98 / $901.74	Professional		$449.50	$584.98	$901.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.69 / $768.83 / $768.83	Facility		$442.69	$768.83	$768.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $598.55 / $876.24	Professional		$430.51	$598.55	$876.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $147.15 / $505.18	Professional		$32.34	$147.15	$505.18
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 $403.33 / $601.47 / $888.26	Professional		$403.33	$601.47	$888.26