Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.37 / $707.56 / $5,320.00	Facility		$533.37	$707.56	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.37 / $613.26 / $723.22	Professional		$533.37	$613.26	$723.22
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 $503.59 / $601.20 / $867.15	Professional		$503.59	$601.20	$867.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.42 / $732.32 / $854.96	Facility		$601.42	$732.32	$854.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.63 / $826.96 / $1,286.48	Professional		$589.63	$826.96	$1,286.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $1,587.00	Facility		$1,084.92	$1,084.92	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.04 / $724.27 / $1,280.52	Professional		$573.04	$724.27	$1,280.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $836.21	Professional		$32.34	$32.34	$836.21
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 $580.87 / $757.68 / $1,194.71	Professional		$580.87	$757.68	$1,194.71