Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.85 / $684.95 / $5,320.00	Facility		$478.85	$684.95	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.85 / $598.55 / $745.31	Professional		$478.85	$598.55	$745.31
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 $377.14 / $471.42 / $748.90	Professional		$377.14	$471.42	$748.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.83 / $730.37 / $842.54	Facility		$523.83	$730.37	$842.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $731.67 / $1,173.80	Professional		$575.00	$731.67	$1,173.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.99 / $959.91 / $959.91	Facility		$338.99	$959.91	$959.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $786.54 / $1,316.00	Professional		$484.57	$786.54	$1,316.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $809.48	Professional		$32.34	$32.34	$809.48
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 $526.22 / $774.72 / $1,243.09	Professional		$526.22	$774.72	$1,243.09