Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.75 / $542.90 / $5,320.00	Facility		$384.75	$542.90	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $453.42 / $617.60	Professional		$325.16	$453.42	$617.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $337.81 / $530.60	Professional		$278.77	$337.81	$530.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $475.61 / $543.54	Facility		$339.75	$475.61	$543.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $479.01 / $764.37	Professional		$372.73	$479.01	$764.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.56 / $625.08 / $1,117.44	Facility		$426.56	$625.08	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.62 / $525.24 / $1,769.57	Professional		$321.62	$525.24	$1,769.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.88	Professional		$32.34	$32.34	$236.88
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 $424.88 / $510.04 / $835.11	Professional		$424.88	$510.04	$835.11