Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.19 / $787.00 / $5,320.00	Facility		$360.19	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.19 / $411.50 / $506.11	Professional		$360.19	$411.50	$506.11
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 $281.07 / $352.46 / $532.59	Professional		$281.07	$352.46	$532.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.68 / $591.29 / $682.12	Facility		$402.68	$591.29	$682.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $591.29 / $844.72	Professional		$422.36	$591.29	$844.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.92 / $525.24 / $525.24	Facility		$473.92	$525.24	$525.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.80 / $531.54 / $793.88	Professional		$404.80	$531.54	$793.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $549.07	Professional		$32.34	$32.34	$549.07
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.79 / $521.88 / $834.37	Professional		$367.79	$521.88	$834.37