Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.35 / $787.00 / $5,320.00	Facility		$402.35	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.35 / $469.79 / $784.41	Professional		$402.35	$469.79	$784.41
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 $381.26 / $462.01 / $695.14	Professional		$381.26	$462.01	$695.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.41 / $627.59 / $723.98	Facility		$441.41	$627.59	$723.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.28 / $627.59 / $896.56	Professional		$448.28	$627.59	$896.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $650.36	Facility		$558.35	$558.35	$650.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $655.16 / $978.11	Professional		$460.93	$655.16	$978.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $582.76	Professional		$32.34	$32.34	$582.76
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.75 / $594.35 / $885.81	Professional		$426.75	$594.35	$885.81