Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $535.00 / $5,320.00	Facility		$372.01	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $484.99 / $659.40	Professional		$351.03	$484.99	$659.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $391.08 / $597.36	Professional		$292.05	$391.08	$597.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.95 / $420.03 / $490.38	Facility		$344.95	$420.03	$490.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $481.52 / $937.36	Professional		$307.58	$481.52	$937.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $622.27 / $1,587.00	Facility		$445.72	$622.27	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.10 / $510.94 / $896.65	Professional		$367.10	$510.94	$896.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.28	Professional		$32.34	$32.34	$609.28
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.48 / $587.03 / $819.13	Professional		$424.48	$587.03	$819.13