Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.74 / $557.15 / $5,320.00	Facility		$300.74	$557.15	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.30 / $360.31 / $557.15	Professional		$259.30	$360.31	$557.15
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 $198.21 / $240.77 / $472.93	Professional		$198.21	$240.77	$472.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $382.76 / $441.54	Facility		$270.27	$382.76	$441.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.25 / $389.64 / $615.15	Professional		$299.25	$389.64	$615.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $503.06 / $503.06	Facility		$477.59	$503.06	$503.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.78 / $482.59 / $829.27	Professional		$333.78	$482.59	$829.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $511.41	Professional		$32.34	$32.34	$511.41
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 $380.85 / $515.60 / $828.73	Professional		$380.85	$515.60	$828.73