Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.43 / $787.00 / $5,320.00	Facility		$402.43	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.43 / $458.83 / $560.86	Professional		$402.43	$458.83	$560.86
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 $336.73 / $402.76 / $632.87	Professional		$336.73	$402.76	$632.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.75 / $658.01 / $759.07	Facility		$446.75	$658.01	$759.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $517.01 / $658.01 / $940.02	Professional		$517.01	$658.01	$940.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.04 / $582.90 / $582.90	Facility		$544.04	$582.90	$582.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.74 / $635.00 / $916.76	Professional		$457.74	$635.00	$916.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $611.01	Professional		$32.34	$32.34	$611.01
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 $420.28 / $572.28 / $833.55	Professional		$420.28	$572.28	$833.55