Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $540.29 / $3,740.00	Facility		$290.70	$540.29	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $503.80 / $686.51	Professional		$289.25	$503.80	$686.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $318.39 / $428.12	Professional		$260.20	$318.39	$428.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $427.49 / $493.15	Facility		$295.70	$427.49	$493.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.89 / $430.54 / $869.26	Professional		$335.89	$430.54	$869.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.01 / $646.66 / $1,108.96	Professional		$354.01	$646.66	$1,108.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $177.55 / $658.23	Professional		$32.34	$177.55	$658.23
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.04 / $760.28 / $1,090.89	Professional		$595.04	$760.28	$1,090.89