Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.52 / $491.74 / $5,320.00	Facility		$398.52	$491.74	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $435.77 / $519.98	Professional		$388.36	$435.77	$519.98
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 $293.42 / $355.57 / $570.79	Professional		$293.42	$355.57	$570.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.09 / $491.57 / $561.79	Facility		$350.09	$491.57	$561.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.12 / $491.57 / $783.36	Professional		$351.12	$491.57	$783.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.68 / $646.05 / $1,117.44	Facility		$426.68	$646.05	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $480.49 / $1,814.78	Professional		$333.75	$480.49	$1,814.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.36	Professional		$32.34	$32.34	$299.36
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 $359.10 / $462.80 / $778.75	Professional		$359.10	$462.80	$778.75