Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.63 / $787.00 / $5,320.00	Facility		$264.63	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.63 / $315.04 / $418.88	Professional		$264.63	$315.04	$418.88
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 $288.97 / $359.20 / $505.60	Professional		$288.97	$359.20	$505.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.52 / $435.04 / $501.85	Facility		$307.52	$435.04	$501.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $435.04 / $621.48	Professional		$339.83	$435.04	$621.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $445.82	Facility		$379.42	$379.42	$445.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $531.85 / $816.84	Professional		$359.75	$531.85	$816.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $403.96	Professional		$32.34	$32.34	$403.96
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 $341.50 / $464.03 / $670.65	Professional		$341.50	$464.03	$670.65