Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.16 / $863.24 / $5,320.00	Facility		$492.16	$863.24	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.16 / $574.51 / $1,247.02	Professional		$492.16	$574.51	$1,247.02
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 $476.12 / $569.34 / $833.81	Professional		$476.12	$569.34	$833.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.48 / $765.48 / $883.03	Facility		$533.48	$765.48	$883.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.77 / $765.48 / $1,093.54	Professional		$546.77	$765.48	$1,093.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.41 / $674.41 / $773.66	Facility		$674.41	$674.41	$773.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.76 / $828.24 / $1,214.92	Professional		$569.76	$828.24	$1,214.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $710.80	Professional		$32.34	$32.34	$710.80
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.57 / $745.92 / $1,098.33	Professional		$531.57	$745.92	$1,098.33