Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $555.30 / $5,320.00	Facility		$362.63	$555.30	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $476.11 / $646.04	Professional		$341.95	$476.11	$646.04
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 $295.77 / $372.58 / $599.90	Professional		$295.77	$372.58	$599.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.25 / $409.44 / $478.01	Facility		$336.25	$409.44	$478.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.66 / $472.19 / $902.72	Professional		$329.66	$472.19	$902.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.15 / $606.57 / $1,587.00	Facility		$527.15	$606.57	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $507.29 / $903.34	Professional		$368.96	$507.29	$903.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $586.77	Professional		$32.34	$32.34	$586.77
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 $425.95 / $586.03 / $825.58	Professional		$425.95	$586.03	$825.58