Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.09 / $787.00 / $5,320.00	Facility		$374.09	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $437.34 / $570.46	Professional		$374.09	$437.34	$570.46
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 $338.41 / $410.85 / $588.79	Professional		$338.41	$410.85	$588.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $584.65 / $674.44	Facility		$411.75	$584.65	$674.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $563.77 / $835.22	Professional		$417.61	$563.77	$835.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.69 / $518.54 / $518.54	Facility		$491.69	$518.54	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.11 / $588.23 / $819.03	Professional		$425.11	$588.23	$819.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $542.89	Professional		$32.34	$32.34	$542.89
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 $389.80 / $537.21 / $808.07	Professional		$389.80	$537.21	$808.07