Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.82 / $512.85 / $5,320.00	Facility		$354.82	$512.85	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.82 / $432.81 / $512.85	Professional		$354.82	$432.81	$512.85
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 $296.87 / $375.74 / $538.61	Professional		$296.87	$375.74	$538.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.57 / $555.53 / $640.85	Facility		$389.57	$555.53	$640.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.88 / $555.53 / $865.68	Professional		$387.88	$555.53	$865.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.32 / $730.13 / $730.13	Facility		$420.32	$730.13	$730.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $572.39 / $831.92	Professional		$399.91	$572.39	$831.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $562.69	Professional		$32.34	$32.34	$562.69
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 $384.20 / $537.20 / $845.87	Professional		$384.20	$537.20	$845.87