Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.16 / $960.10 / $5,320.00	Facility		$761.16	$960.10	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.34 / $865.41 / $960.10	Professional		$481.34	$865.41	$960.10
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 $541.20 / $640.63 / $940.60	Professional		$541.20	$640.63	$940.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $811.52 / $1,149.75 / $1,326.31	Facility		$811.52	$1,149.75	$1,326.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $821.25 / $1,149.75 / $1,642.50	Professional		$821.25	$1,149.75	$1,642.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.90 / $1,039.80 / $1,039.80	Facility		$816.90	$1,039.80	$1,039.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.59 / $896.00 / $1,336.10	Professional		$710.59	$896.00	$1,336.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,067.63	Professional		$32.34	$32.34	$1,067.63
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 $617.54 / $886.98 / $1,447.17	Professional		$617.54	$886.98	$1,447.17