Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.14 / $557.00 / $5,320.00	Facility		$418.14	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.88 / $418.14 / $514.97	Professional		$384.88	$418.14	$514.97
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 $310.39 / $371.16 / $544.26	Professional		$310.39	$371.16	$544.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $515.49 / $589.14	Facility		$367.72	$515.49	$589.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $359.93 / $515.49 / $736.42	Professional		$359.93	$515.49	$736.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.45 / $457.45 / $1,117.44	Facility		$457.45	$457.45	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $483.31 / $831.54	Professional		$341.00	$483.31	$831.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.08	Professional		$32.34	$32.34	$265.08
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $433.81 / $703.55	Professional		$338.89	$433.81	$703.55