Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.91 / $787.00 / $6,542.40	Facility		$491.91	$787.00	$6,542.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $574.66 / $625.95	Professional		$491.91	$574.66	$625.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.39 / $528.54 / $725.80	Professional		$436.39	$528.54	$725.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $767.80 / $885.72	Facility		$536.77	$767.80	$885.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $548.42 / $767.80 / $1,096.85	Professional		$548.42	$767.80	$1,096.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.36 / $679.25 / $679.25	Facility		$616.36	$679.25	$679.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.82 / $754.40 / $1,032.07	Professional		$546.82	$754.40	$1,032.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $712.96	Professional		$32.34	$32.34	$712.96
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.04 / $703.46 / $1,034.25	Professional		$490.04	$703.46	$1,034.25