Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.12 / $918.10 / $5,320.00	Facility		$526.12	$918.10	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $608.76 / $809.07	Professional		$526.12	$608.76	$809.07
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 $454.88 / $542.50 / $846.26	Professional		$454.88	$542.50	$846.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.97 / $797.93 / $920.47	Facility		$563.97	$797.93	$920.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.13 / $797.93 / $1,139.90	Professional		$557.13	$797.93	$1,139.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $769.82	Facility		$722.52	$722.52	$769.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.54 / $818.60 / $1,190.41	Professional		$583.54	$818.60	$1,190.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $740.94	Professional		$32.34	$32.34	$740.94
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 $508.32 / $744.50 / $1,109.58	Professional		$508.32	$744.50	$1,109.58