Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $787.00 / $2,747.00	Facility		$612.00	$787.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.01 / $697.92 / $1,007.76	Professional		$566.01	$697.92	$1,007.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.02 / $632.24 / $906.20	Professional		$522.02	$632.24	$906.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.09 / $744.09 / $868.71	Facility		$611.09	$744.09	$868.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.95 / $844.75 / $1,467.70	Professional		$658.95	$844.75	$1,467.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.87 / $1,102.35 / $1,829.00	Facility		$517.87	$1,102.35	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.82 / $780.83 / $1,303.16	Professional		$598.82	$780.83	$1,303.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $954.01	Professional		$32.34	$32.34	$954.01
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 $675.12 / $813.37 / $1,574.73	Professional		$675.12	$813.37	$1,574.73