Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.33 / $988.00 / $3,740.00	Facility		$312.33	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $409.57 / $3,263.90	Professional		$179.03	$409.57	$3,263.90
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 $121.80 / $157.66 / $338.60	Professional		$121.80	$157.66	$338.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.71 / $585.90 / $691.42	Facility		$391.71	$585.90	$691.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $606.83 / $5,419.49	Professional		$462.44	$606.83	$5,419.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.05 / $770.04 / $770.04	Facility		$353.05	$770.04	$770.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $320.92 / $3,552.99	Professional		$184.98	$320.92	$3,552.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.29 / $3,516.55	Professional		$32.34	$64.29	$3,516.55
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $20,161.00	Facility		$973.00	$4,639.00	$20,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $1,660.12 / $3,501.03	Professional		$207.72	$1,660.12	$3,501.03