Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.01 / $787.00 / $5,320.00	Facility		$459.01	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.01 / $542.66 / $665.51	Professional		$459.01	$542.66	$665.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $517.95 / $762.30	Professional		$415.75	$517.95	$762.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.10 / $749.25 / $864.31	Facility		$528.10	$749.25	$864.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $749.25 / $1,070.35	Professional		$535.17	$749.25	$1,070.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $745.54	Facility		$658.46	$658.46	$745.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.26 / $747.02 / $1,103.42	Professional		$541.26	$747.02	$1,103.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $793.50	Professional		$32.34	$32.34	$793.50
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,700.00 / $6,295.00	Facility		$599.00	$1,700.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.71 / $685.39 / $1,122.01	Professional		$516.71	$685.39	$1,122.01