Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.79 / $787.00 / $5,320.00	Facility		$573.79	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $669.68 / $787.50	Professional		$573.79	$669.68	$787.50
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 $516.09 / $633.75 / $877.07	Professional		$516.09	$633.75	$877.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.08 / $893.33 / $1,030.52	Facility		$624.08	$893.33	$1,030.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $638.09 / $893.33 / $1,276.18	Professional		$638.09	$893.33	$1,276.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.79 / $789.73 / $789.73	Facility		$730.79	$789.73	$789.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.86 / $919.71 / $1,261.48	Professional		$652.86	$919.71	$1,261.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $829.52	Professional		$32.34	$32.34	$829.52
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 $608.41 / $814.29 / $1,253.39	Professional		$608.41	$814.29	$1,253.39