Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $806.24 / $5,320.00	Facility		$535.00	$806.24	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.23 / $778.98 / $1,004.44	Professional		$499.23	$778.98	$1,004.44
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 $381.51 / $464.31 / $758.62	Professional		$381.51	$464.31	$758.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.01 / $946.39 / $1,091.72	Facility		$681.01	$946.39	$1,091.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.99 / $946.39 / $1,520.98	Professional		$675.99	$946.39	$1,520.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.97 / $1,243.82 / $1,243.82	Facility		$325.97	$1,243.82	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.83 / $858.82 / $1,447.87	Professional		$482.83	$858.82	$1,447.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.07 / $903.98	Professional		$32.34	$112.07	$903.98
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.40 / $915.41 / $1,712.91	Professional		$565.40	$915.41	$1,712.91