Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.17 / $787.00 / $5,320.00	Facility		$424.17	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $493.37 / $646.15	Professional		$424.17	$493.37	$646.15
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 $357.43 / $433.13 / $675.97	Professional		$357.43	$433.13	$675.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.41 / $651.52 / $751.56	Facility		$457.41	$651.52	$751.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.91 / $651.52 / $930.74	Professional		$511.91	$651.52	$930.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $603.64	Facility		$580.85	$580.85	$603.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.90 / $620.41 / $939.94	Professional		$475.90	$620.41	$939.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $604.98	Professional		$32.34	$32.34	$604.98
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 $420.87 / $592.46 / $898.88	Professional		$420.87	$592.46	$898.88