Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.71 / $787.00 / $5,320.00	Facility		$487.71	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.71 / $556.12 / $675.63	Professional		$487.71	$556.12	$675.63
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 $392.06 / $507.52 / $777.02	Professional		$392.06	$507.52	$777.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.02 / $797.54 / $920.02	Facility		$539.02	$797.54	$920.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.66 / $769.05 / $1,139.33	Professional		$569.66	$769.05	$1,139.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.23 / $704.17 / $704.17	Facility		$671.23	$704.17	$704.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.88 / $757.53 / $1,137.78	Professional		$528.88	$757.53	$1,137.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $740.57	Professional		$32.34	$32.34	$740.57
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 $520.19 / $698.94 / $1,042.15	Professional		$520.19	$698.94	$1,042.15