Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.42 / $749.51 / $5,320.00	Facility		$417.42	$749.51	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.42 / $493.86 / $640.88	Professional		$417.42	$493.86	$640.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $471.73 / $726.20	Professional		$388.67	$471.73	$726.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $452.82 / $649.28 / $748.98	Facility		$452.82	$649.28	$748.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.88 / $649.28 / $927.54	Professional		$458.88	$649.28	$927.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.73 / $853.34 / $853.34	Facility		$645.73	$853.34	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.39 / $691.46 / $1,031.75	Professional		$489.39	$691.46	$1,031.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.27	Professional		$32.34	$32.34	$610.27
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 $457.47 / $625.41 / $943.52	Professional		$457.47	$625.41	$943.52