Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.77 / $787.00 / $5,320.00	Facility		$605.77	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.77 / $671.60 / $801.85	Professional		$605.77	$671.60	$801.85
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 $532.19 / $646.63 / $924.65	Professional		$532.19	$646.63	$924.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.85 / $831.47 / $970.72	Facility		$682.85	$831.47	$970.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $654.40 / $938.92 / $1,448.42	Professional		$654.40	$938.92	$1,448.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.81 / $1,231.81 / $1,587.00	Facility		$1,231.81	$1,231.81	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $768.42 / $1,293.44	Professional		$610.16	$768.42	$1,293.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $941.47	Professional		$32.34	$32.34	$941.47
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $767.62 / $1,305.42	Professional		$551.50	$767.62	$1,305.42