Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $806.45 / $5,320.00	Facility		$580.54	$806.45	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $704.94 / $884.93	Professional		$580.54	$704.94	$884.93
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 $553.87 / $671.17 / $951.29	Professional		$553.87	$671.17	$951.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.75 / $794.82 / $927.93	Facility		$652.75	$794.82	$927.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $902.33 / $1,530.68	Professional		$702.08	$902.33	$1,530.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.50 / $1,177.51 / $1,587.00	Facility		$553.50	$1,177.51	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.50 / $825.72 / $1,351.01	Professional		$633.50	$825.72	$1,351.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $994.94	Professional		$32.34	$32.34	$994.94
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.06 / $871.20 / $1,369.79	Professional		$700.06	$871.20	$1,369.79