Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.39 / $787.00 / $5,320.00	Facility		$619.39	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.39 / $710.89 / $850.29	Professional		$619.39	$710.89	$850.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.66 / $708.26 / $990.62	Professional		$562.66	$708.26	$990.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.77 / $953.34 / $1,099.76	Facility		$673.77	$953.34	$1,099.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $749.06 / $953.34 / $1,361.92	Professional		$749.06	$953.34	$1,361.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.24 / $833.95 / $833.95	Facility		$768.24	$833.95	$833.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.67 / $983.95 / $1,434.98	Professional		$719.67	$983.95	$1,434.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $885.25	Professional		$32.34	$32.34	$885.25
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.38 / $923.82 / $1,422.17	Professional		$660.38	$923.82	$1,422.17