Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.41 / $787.00 / $5,320.00	Facility		$477.41	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.41 / $557.29 / $744.99	Professional		$477.41	$557.29	$744.99
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 $425.46 / $548.50 / $808.42	Professional		$425.46	$548.50	$808.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.89 / $742.55 / $856.58	Facility		$517.89	$742.55	$856.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.46 / $742.55 / $1,060.78	Professional		$518.46	$742.55	$1,060.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $733.58	Facility		$655.05	$655.05	$733.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.54 / $777.94 / $1,167.16	Professional		$547.54	$777.94	$1,167.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $689.51	Professional		$32.34	$32.34	$689.51
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 $501.61 / $694.59 / $1,082.94	Professional		$501.61	$694.59	$1,082.94