Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.20 / $557.00 / $5,320.00	Facility		$388.20	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $388.20 / $477.48	Professional		$356.06	$388.20	$477.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,337.91 / $6,411.83 / $11,253.00	Facility		$3,337.91	$6,411.83	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $331.56 / $504.73	Professional		$279.08	$331.56	$504.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.57 / $475.79 / $543.76	Facility		$338.57	$475.79	$543.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.20 / $475.79 / $679.70	Professional		$332.20	$475.79	$679.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $420.73 / $463.00	Facility		$360.89	$420.73	$463.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $429.69 / $770.14	Professional		$314.38	$429.69	$770.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.62	Professional		$32.34	$32.34	$205.62
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.73 / $389.77 / $639.58	Professional		$302.73	$389.77	$639.58