Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.84 / $711.56 / $5,320.00	Facility		$492.84	$711.56	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.84 / $592.54 / $698.67	Professional		$492.84	$592.54	$698.67
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 $456.20 / $582.51 / $840.65	Professional		$456.20	$582.51	$840.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $557.36 / $678.68 / $792.34	Facility		$557.36	$678.68	$792.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.99 / $766.38 / $1,293.74	Professional		$496.99	$766.38	$1,293.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.45 / $1,005.45 / $1,587.00	Facility		$1,005.45	$1,005.45	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $688.28 / $1,243.82	Professional		$508.20	$688.28	$1,243.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.93	Professional		$32.34	$32.34	$840.93
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $736.44 / $1,201.25	Professional		$564.65	$736.44	$1,201.25