Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.48 / $787.00 / $5,320.00	Facility		$412.48	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.31 / $528.36 / $645.76	Professional		$424.31	$528.36	$645.76
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 $397.55 / $495.87 / $724.69	Professional		$397.55	$495.87	$724.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.07 / $733.94 / $846.64	Facility		$512.07	$733.94	$846.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.44 / $733.94 / $1,048.48	Professional		$512.44	$733.94	$1,048.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $647.62 / $647.62	Facility		$647.62	$647.62	$647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.55 / $728.80 / $1,003.45	Professional		$522.55	$728.80	$1,003.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.51	Professional		$32.34	$32.34	$681.51
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $671.52 / $1,035.58	Professional		$484.40	$671.52	$1,035.58