Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.18 / $787.00 / $5,320.00	Facility		$444.18	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $520.07 / $614.00	Professional		$433.37	$520.07	$614.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.58 / $431.26 / $638.02	Professional		$353.58	$431.26	$638.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.04 / $694.08 / $800.66	Facility		$486.04	$694.08	$800.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $694.08 / $991.54	Professional		$484.62	$694.08	$991.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.86 / $615.63 / $615.63	Facility		$552.86	$615.63	$615.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.43 / $649.01 / $935.22	Professional		$460.43	$649.01	$935.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $644.50	Professional		$32.34	$32.34	$644.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $608.67 / $974.60	Professional		$416.64	$608.67	$974.60