Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.25 / $787.00 / $6,027.50	Facility		$393.25	$787.00	$6,027.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $458.61 / $739.90	Professional		$396.98	$458.61	$739.90
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 $389.07 / $475.28 / $607.61	Professional		$389.07	$475.28	$607.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.08 / $610.51 / $704.27	Facility		$420.08	$610.51	$704.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.27 / $610.51 / $872.16	Professional		$426.27	$610.51	$872.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $534.66	Facility		$534.66	$534.66	$534.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.56 / $634.49 / $929.18	Professional		$445.56	$634.49	$929.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $566.90	Professional		$32.34	$32.34	$566.90
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,113.94 / $6,295.00	Facility		$599.00	$2,113.94	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.42 / $605.58 / $924.40	Professional		$456.42	$605.58	$924.40