Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $819.35 / $5,320.00	Facility		$531.66	$819.35	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $619.71 / $819.35	Professional		$531.66	$619.71	$819.35
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 $509.84 / $617.36 / $896.96	Professional		$509.84	$617.36	$896.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $826.27 / $953.15	Facility		$575.13	$826.27	$953.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.91 / $826.27 / $1,180.38	Professional		$576.91	$826.27	$1,180.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $806.80	Facility		$726.86	$726.86	$806.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.33 / $855.72 / $1,312.80	Professional		$616.33	$855.72	$1,312.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $767.25	Professional		$32.34	$32.34	$767.25
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.58 / $800.44 / $1,194.06	Professional		$574.58	$800.44	$1,194.06