Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.52 / $518.23 / $5,320.00	Facility		$398.52	$518.23	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $448.19 / $535.51	Professional		$388.36	$448.19	$535.51
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 $292.74 / $354.74 / $590.40	Professional		$292.74	$354.74	$590.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.57 / $491.57 / $1,653.17	Facility		$491.57	$491.57	$1,653.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.83 / $563.44 / $905.54	Professional		$462.83	$563.44	$905.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.67 / $646.05 / $1,322.53	Facility		$449.67	$646.05	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.49 / $488.32 / $1,814.78	Professional		$343.49	$488.32	$1,814.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $367.45 / $476.18 / $796.48	Professional		$367.45	$476.18	$796.48