Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.11 / $787.00 / $5,320.00	Facility		$365.11	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.11 / $434.66 / $543.77	Professional		$365.11	$434.66	$543.77
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 $356.12 / $430.10 / $600.47	Professional		$356.12	$430.10	$600.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.90 / $588.11 / $678.43	Facility		$416.90	$588.11	$678.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.08 / $588.11 / $840.16	Professional		$420.08	$588.11	$840.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $544.30	Facility		$517.42	$517.42	$544.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.50 / $616.69 / $862.38	Professional		$428.50	$616.69	$862.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.10	Professional		$32.34	$32.34	$546.10
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 $438.49 / $584.91 / $839.03	Professional		$438.49	$584.91	$839.03