Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.67 / $787.00 / $5,320.00	Facility		$357.67	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.67 / $425.41 / $516.13	Professional		$357.67	$425.41	$516.13
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 $359.83 / $437.90 / $599.66	Professional		$359.83	$437.90	$599.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.56 / $577.00 / $665.61	Facility		$408.56	$577.00	$665.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.42 / $577.00 / $824.28	Professional		$451.42	$577.00	$824.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $506.28 / $563.54	Facility		$506.28	$506.28	$563.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.96 / $641.79 / $921.37	Professional		$443.96	$641.79	$921.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $535.78	Professional		$32.34	$32.34	$535.78
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 $422.24 / $592.96 / $817.34	Professional		$422.24	$592.96	$817.34