Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.22 / $808.50 / $5,771.02	Facility		$585.22	$808.50	$5,771.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $744.58 / $971.99	Professional		$602.71	$744.58	$971.99
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 $585.74 / $709.79 / $976.31	Professional		$585.74	$709.79	$976.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.60 / $806.81 / $941.93	Facility		$662.60	$806.81	$941.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $634.99 / $915.95 / $1,573.26	Professional		$634.99	$915.95	$1,573.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.72 / $1,195.28 / $1,829.00	Facility		$613.72	$1,195.28	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.36 / $849.12 / $1,460.06	Professional		$662.36	$849.12	$1,460.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,022.62	Professional		$32.34	$32.34	$1,022.62
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 $736.92 / $888.89 / $1,441.09	Professional		$736.92	$888.89	$1,441.09