Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.87 / $787.00 / $5,320.00	Facility		$389.87	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.34 / $489.31 / $599.16	Professional		$395.34	$489.31	$599.16
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 $376.27 / $474.73 / $667.75	Professional		$376.27	$474.73	$667.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.86 / $680.02 / $784.45	Facility		$474.86	$680.02	$784.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.29 / $680.02 / $971.46	Professional		$534.29	$680.02	$971.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $601.13 / $601.13	Facility		$601.13	$601.13	$601.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.87 / $671.66 / $974.40	Professional		$492.87	$671.66	$974.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.45	Professional		$32.34	$32.34	$631.45
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 $433.45 / $619.22 / $965.64	Professional		$433.45	$619.22	$965.64