Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $845.08 / $5,320.00	Facility		$374.64	$845.08	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $440.73 / $845.08	Professional		$374.64	$440.73	$845.08
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 $346.56 / $417.82 / $671.97	Professional		$346.56	$417.82	$671.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.06 / $584.08 / $673.78	Facility		$410.06	$584.08	$673.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.81 / $584.08 / $834.40	Professional		$407.81	$584.08	$834.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $832.13	Facility		$517.79	$517.79	$832.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.01 / $603.21 / $914.46	Professional		$427.01	$603.21	$914.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.36	Professional		$32.34	$32.34	$542.36
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 $381.49 / $555.79 / $842.67	Professional		$381.49	$555.79	$842.67