Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.29 / $787.00 / $5,320.00	Facility		$577.29	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.29 / $685.72 / $897.41	Professional		$577.29	$685.72	$897.41
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 $573.42 / $696.74 / $1,002.77	Professional		$573.42	$696.74	$1,002.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.38 / $804.12 / $938.79	Facility		$660.38	$804.12	$938.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $709.55 / $908.03 / $1,483.82	Professional		$709.55	$908.03	$1,483.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.29 / $1,191.29 / $1,587.00	Facility		$1,191.29	$1,191.29	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.41 / $847.58 / $1,458.45	Professional		$658.41	$847.58	$1,458.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $964.48	Professional		$32.34	$32.34	$964.48
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.05 / $907.35 / $1,353.33	Professional		$692.05	$907.35	$1,353.33