Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.26 / $557.00 / $5,320.00	Facility		$506.26	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.63 / $506.26 / $621.47	Professional		$464.63	$506.26	$621.47
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 $357.26 / $424.58 / $656.82	Professional		$357.26	$424.58	$656.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.79 / $623.80 / $712.93	Facility		$444.79	$623.80	$712.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.58 / $623.80 / $891.16	Professional		$445.58	$623.80	$891.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.68 / $553.64 / $2,280.98	Facility		$452.68	$553.64	$2,280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $561.89 / $1,022.15	Professional		$412.70	$561.89	$1,022.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $305.89	Professional		$32.34	$32.34	$305.89
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 $407.09 / $524.13 / $914.34	Professional		$407.09	$524.13	$914.34