Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.78 / $872.58 / $5,320.00	Facility		$598.78	$872.58	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.78 / $697.49 / $872.58	Professional		$598.78	$697.49	$872.58
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 $421.14 / $564.74 / $975.12	Professional		$421.14	$564.74	$975.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.85 / $930.03 / $1,072.84	Facility		$646.85	$930.03	$1,072.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $730.74 / $930.03 / $1,328.62	Professional		$730.74	$930.03	$1,328.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.25 / $817.25 / $845.97	Facility		$817.25	$817.25	$845.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.45 / $960.68 / $1,487.12	Professional		$691.45	$960.68	$1,487.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $863.60	Professional		$32.34	$32.34	$863.60
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $884.58 / $1,342.56	Professional		$633.00	$884.58	$1,342.56