Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.89 / $549.66 / $5,320.00	Facility		$416.89	$549.66	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.88 / $507.94 / $635.10	Professional		$404.88	$507.94	$635.10
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 $301.33 / $365.15 / $559.52	Professional		$301.33	$365.15	$559.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $515.16 / $588.75	Facility		$367.29	$515.16	$588.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $518.84 / $827.93	Professional		$422.25	$518.84	$827.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.83 / $677.06 / $1,728.48	Facility		$370.83	$677.06	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.53 / $542.53 / $1,906.79	Professional		$360.53	$542.53	$1,906.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.52	Professional		$32.34	$32.34	$270.52
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.33 / $555.85 / $854.50	Professional		$432.33	$555.85	$854.50