Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.32 / $857.73 / $5,320.00	Facility		$379.32	$857.73	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.81 / $443.53 / $857.73	Professional		$367.81	$443.53	$857.73
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 $330.48 / $414.29 / $703.00	Professional		$330.48	$414.29	$703.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $591.04 / $681.82	Facility		$413.28	$591.04	$681.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.18 / $591.04 / $844.36	Professional		$422.18	$591.04	$844.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $554.46	Facility		$523.39	$523.39	$554.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.67 / $612.85 / $924.48	Professional		$430.67	$612.85	$924.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $548.83	Professional		$32.34	$32.34	$548.83
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $570.92 / $906.64	Professional		$374.46	$570.92	$906.64