Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.33 / $557.00 / $5,320.00	Facility		$396.33	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.33 / $456.87 / $602.84	Professional		$396.33	$456.87	$602.84
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 $308.89 / $363.42 / $513.62	Professional		$308.89	$363.42	$513.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.34 / $532.94 / $614.78	Facility		$392.34	$532.94	$614.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.77 / $532.94 / $761.34	Professional		$437.77	$532.94	$761.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.59 / $467.59 / $490.24	Facility		$467.59	$467.59	$490.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $485.99 / $783.11	Professional		$403.00	$485.99	$783.11
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 $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 $356.12 / $515.84 / $787.44	Professional		$356.12	$515.84	$787.44