Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $862.57 / $5,320.00	Facility		$680.86	$862.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.86 / $788.89 / $923.31	Professional		$680.86	$788.89	$923.31
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 $568.76 / $709.56 / $996.10	Professional		$568.76	$709.56	$996.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $730.60 / $1,042.50 / $1,202.58	Facility		$730.60	$1,042.50	$1,202.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $820.93 / $1,042.50 / $1,489.28	Professional		$820.93	$1,042.50	$1,489.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.36 / $927.20 / $927.20	Facility		$849.36	$927.20	$927.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.04 / $1,012.69 / $1,398.17	Professional		$756.04	$1,012.69	$1,398.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $968.03	Professional		$32.34	$32.34	$968.03
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 $670.19 / $955.85 / $1,480.90	Professional		$670.19	$955.85	$1,480.90