Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.18 / $787.00 / $5,320.00	Facility		$345.18	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.18 / $397.40 / $481.15	Professional		$345.18	$397.40	$481.15
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 $303.22 / $367.44 / $524.11	Professional		$303.22	$367.44	$524.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.47 / $565.77 / $667.66	Facility		$383.47	$565.77	$667.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $395.03 / $565.77 / $808.24	Professional		$395.03	$565.77	$808.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $500.69 / $516.12	Facility		$500.69	$500.69	$516.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.28 / $545.12 / $733.42	Professional		$390.28	$545.12	$733.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $525.36	Professional		$32.34	$32.34	$525.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,572.00 / $10,917.00 / $32,956.00	Facility		$1,572.00	$10,917.00	$32,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.27 / $530.72 / $718.30	Professional		$388.27	$530.72	$718.30