Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.54 / $787.00 / $5,320.00	Facility		$435.54	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.67 / $458.92 / $537.02	Professional		$432.67	$458.92	$537.02
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 $349.86 / $423.95 / $644.34	Professional		$349.86	$423.95	$644.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.38 / $609.94 / $703.61	Facility		$444.38	$609.94	$703.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.02 / $609.94 / $871.34	Professional		$501.02	$609.94	$871.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.93 / $551.40 / $551.40	Facility		$439.93	$551.40	$551.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $578.91 / $951.95	Professional		$434.70	$578.91	$951.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $397.50 / $577.23 / $920.45	Professional		$397.50	$577.23	$920.45