Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.09 / $809.54 / $5,320.00	Facility		$472.09	$809.54	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.09 / $551.77 / $809.54	Professional		$472.09	$551.77	$809.54
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 $430.57 / $533.10 / $798.72	Professional		$430.57	$533.10	$798.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.67 / $734.79 / $847.63	Facility		$512.67	$734.79	$847.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.04 / $734.79 / $1,049.70	Professional		$513.04	$734.79	$1,049.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $797.13	Facility		$648.37	$648.37	$797.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.45 / $763.08 / $1,148.35	Professional		$538.45	$763.08	$1,148.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $682.31	Professional		$32.34	$32.34	$682.31
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.80 / $753.96 / $1,135.89	Professional		$490.80	$753.96	$1,135.89