Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.65 / $631.60 / $5,320.00	Facility		$471.65	$631.60	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $545.71 / $787.68	Professional		$434.49	$545.71	$787.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $486.69 / $681.90	Professional		$369.37	$486.69	$681.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.66 / $574.30 / $670.49	Facility		$471.66	$574.30	$670.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.01 / $661.72 / $1,148.35	Professional		$452.01	$661.72	$1,148.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.27 / $850.83 / $1,587.00	Facility		$377.27	$850.83	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.11 / $604.50 / $992.96	Professional		$441.11	$604.50	$992.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $746.43	Professional		$32.34	$32.34	$746.43
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.51 / $626.27 / $1,002.36	Professional		$516.51	$626.27	$1,002.36