Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.47 / $787.00 / $5,320.00	Facility		$283.47	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.47 / $332.50 / $529.65	Professional		$283.47	$332.50	$529.65
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 $253.69 / $307.45 / $470.81	Professional		$253.69	$307.45	$470.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $443.38 / $511.48	Facility		$310.97	$443.38	$511.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.37 / $443.38 / $633.40	Professional		$348.37	$443.38	$633.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.30 / $394.30 / $521.53	Facility		$394.30	$394.30	$521.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $450.42 / $682.51	Professional		$322.69	$450.42	$682.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.71	Professional		$32.34	$32.34	$411.71
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.76 / $399.64 / $624.57	Professional		$288.76	$399.64	$624.57