Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.19 / $645.23 / $5,320.00	Facility		$471.19	$645.23	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $552.42 / $701.93	Professional		$430.39	$552.42	$701.93
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 $356.10 / $431.52 / $748.00	Professional		$356.10	$431.52	$748.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $534.16 / $647.28 / $1,122.00	Professional	50	$534.16	$647.28	$1,122.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.03 / $580.69 / $663.65	Facility		$413.03	$580.69	$663.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.78 / $586.71 / $933.26	Professional		$414.78	$586.71	$933.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.48 / $763.20 / $1,117.44	Facility		$512.48	$763.20	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.62 / $609.85 / $2,145.33	Professional		$411.62	$609.85	$2,145.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $370.09	Professional		$32.34	$32.34	$370.09
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 $480.20 / $610.74 / $1,017.61	Professional		$480.20	$610.74	$1,017.61