Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.67 / $787.00 / $5,320.00	Facility		$529.67	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $617.44 / $723.05	Professional		$523.97	$617.44	$723.05
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 $495.61 / $586.76 / $852.20	Professional		$495.61	$586.76	$852.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $573.83 / $824.04 / $950.59	Facility		$573.83	$824.04	$950.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.60 / $824.04 / $1,177.20	Professional		$588.60	$824.04	$1,177.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.19 / $725.37 / $725.37	Facility		$678.19	$725.37	$725.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.27 / $854.74 / $1,153.15	Professional		$606.27	$854.74	$1,153.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $765.18	Professional		$32.34	$32.34	$765.18
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 $556.32 / $796.44 / $1,280.68	Professional		$556.32	$796.44	$1,280.68