Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.40 / $787.00 / $5,320.00	Facility		$343.40	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.40 / $398.37 / $488.29	Professional		$343.40	$398.37	$488.29
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 $351.67 / $433.21 / $616.04	Professional		$351.67	$433.21	$616.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.49 / $556.64 / $642.12	Facility		$381.49	$556.64	$642.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.65 / $556.64 / $795.20	Professional		$388.65	$556.64	$795.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $603.48	Facility		$489.28	$489.28	$603.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.73 / $603.48 / $896.69	Professional		$407.73	$603.48	$896.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $516.88	Professional		$32.34	$32.34	$516.88
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 $404.99 / $566.01 / $881.10	Professional		$404.99	$566.01	$881.10