Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.55 / $822.92 / $5,320.00	Facility		$260.55	$822.92	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $637.13 / $1,244.59	Professional		$278.52	$637.13	$1,244.59
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 $256.14 / $612.54 / $958.85	Professional		$256.14	$612.54	$958.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.60 / $331.60 / $391.33	Facility		$241.60	$331.60	$391.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.92 / $776.50 / $997.47	Professional		$307.92	$776.50	$997.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.82 / $435.82 / $435.82	Facility		$435.82	$435.82	$435.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.58 / $43.58 / $43.58	Facility	AS	$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.79 / $799.12 / $1,445.56	Professional		$310.79	$799.12	$1,445.56
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 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.39 / $1,236.58 / $1,501.20	Professional		$794.39	$1,236.58	$1,501.20