Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $482.26 / $5,320.00	Facility		$305.14	$482.26	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.35 / $377.58 / $482.26	Professional		$287.35	$377.58	$482.26
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 $256.70 / $331.30 / $514.29	Professional		$256.70	$331.30	$514.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $388.37 / $448.02	Facility		$282.95	$388.37	$448.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.02 / $413.62 / $624.16	Professional		$319.02	$413.62	$624.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.30 / $510.43 / $510.43	Facility		$358.30	$510.43	$510.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $445.03 / $752.36	Professional		$329.00	$445.03	$752.36
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 $599.00 / $3,086.00 / $6,486.14	Facility		$599.00	$3,086.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $366.07 / $481.33 / $743.28	Professional		$366.07	$481.33	$743.28