Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.62 / $839.88 / $5,320.00	Facility		$643.62	$839.88	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.51 / $811.84 / $925.45	Professional		$672.51	$811.84	$925.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.57 / $682.46 / $1,009.40	Professional		$571.57	$682.46	$1,009.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.82 / $1,014.33 / $1,170.09	Facility		$701.82	$1,014.33	$1,170.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.97 / $1,014.33 / $1,630.17	Professional		$796.97	$1,014.33	$1,630.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.01 / $1,333.12 / $1,333.12	Facility		$827.01	$1,333.12	$1,333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.39 / $1,104.97 / $1,610.06	Professional		$750.39	$1,104.97	$1,610.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,079.81	Professional		$32.34	$32.34	$1,079.81
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 $764.89 / $1,050.85 / $1,629.34	Professional		$764.89	$1,050.85	$1,629.34