Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.91 / $891.26 / $5,320.00	Facility		$526.91	$891.26	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.91 / $615.26 / $891.26	Professional		$526.91	$615.26	$891.26
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 $385.98 / $499.66 / $849.24	Professional		$385.98	$499.66	$849.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.24 / $821.41 / $947.55	Facility		$572.24	$821.41	$947.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $586.72 / $821.41 / $1,173.44	Professional		$586.72	$821.41	$1,173.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $877.61	Facility		$723.51	$723.51	$877.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.21 / $746.13 / $1,308.71	Professional		$502.21	$746.13	$1,308.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $762.74	Professional		$32.34	$32.34	$762.74
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 $469.15 / $711.86 / $1,179.75	Professional		$469.15	$711.86	$1,179.75