Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $787.00 / $3,740.00	Facility		$290.69	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $339.35 / $602.08	Professional		$290.69	$339.35	$602.08
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 $250.82 / $312.58 / $478.50	Professional		$250.82	$312.58	$478.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.43 / $481.35 / $555.28	Facility		$334.43	$481.35	$555.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.08 / $481.35 / $687.64	Professional		$336.08	$481.35	$687.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $457.26	Facility		$424.06	$424.06	$457.26
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.61 / $472.83 / $712.05	Professional		$352.61	$472.83	$712.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $446.97	Professional		$32.34	$32.34	$446.97
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 $325.42 / $435.77 / $619.07	Professional		$325.42	$435.77	$619.07