Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.22 / $787.00 / $2,747.00	Facility		$556.22	$787.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $688.47 / $844.55	Professional		$556.22	$688.47	$844.55
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 $497.73 / $613.46 / $904.10	Professional		$497.73	$613.46	$904.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.70 / $765.55 / $893.75	Facility		$628.70	$765.55	$893.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $677.45 / $870.32 / $1,513.60	Professional		$677.45	$870.32	$1,513.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.68 / $1,134.14 / $1,829.00	Facility		$487.68	$1,134.14	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.33 / $800.56 / $1,319.38	Professional		$579.33	$800.56	$1,319.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $983.84	Professional		$32.34	$32.34	$983.84
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 $658.33 / $837.64 / $1,345.30	Professional		$658.33	$837.64	$1,345.30