Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.24 / $787.00 / $8,067.26	Facility		$386.24	$787.00	$8,067.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.37 / $409.45 / $747.34	Professional		$352.37	$409.45	$747.34
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 $347.06 / $423.03 / $546.88	Professional		$347.06	$423.03	$546.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.29 / $546.28 / $630.16	Facility		$377.29	$546.28	$630.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.79 / $546.28 / $780.40	Professional		$429.79	$546.28	$780.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.77 / $565.07 / $822.89	Professional		$397.77	$565.07	$822.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $507.26	Professional		$32.34	$32.34	$507.26
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 $406.42 / $570.91 / $825.18	Professional		$406.42	$570.91	$825.18