Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.30 / $590.66 / $5,320.00	Facility		$308.30	$590.66	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.22 / $334.30 / $395.07	Professional		$269.22	$334.30	$395.07
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 $180.10 / $254.16 / $417.73	Professional		$180.10	$254.16	$417.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $430.75 / $496.91	Facility		$302.81	$430.75	$496.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.68 / $430.75 / $689.68	Professional		$307.68	$430.75	$689.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $566.13 / $566.13	Facility		$355.31	$566.13	$566.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.55 / $434.40 / $605.86	Professional		$312.55	$434.40	$605.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $448.29	Professional		$32.34	$32.34	$448.29
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 $299.70 / $417.53 / $670.26	Professional		$299.70	$417.53	$670.26