Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $850.07 / $5,320.00	Facility		$407.28	$850.07	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $464.63 / $571.08	Professional		$407.28	$464.63	$571.08
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 $311.74 / $396.10 / $610.86	Professional		$311.74	$396.10	$610.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.40 / $667.30 / $769.77	Facility		$454.40	$667.30	$769.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.29 / $667.30 / $953.28	Professional		$524.29	$667.30	$953.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.29 / $592.57 / $592.57	Facility		$511.29	$592.57	$592.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.08 / $570.15 / $933.09	Professional		$432.08	$570.15	$933.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $619.63	Professional		$32.34	$32.34	$619.63
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.12 / $552.19 / $842.71	Professional		$416.12	$552.19	$842.71