Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.27 / $867.16 / $5,320.00	Facility		$664.27	$867.16	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.27 / $769.46 / $932.49	Professional		$664.27	$769.46	$932.49
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 $488.21 / $591.60 / $920.12	Professional		$488.21	$591.60	$920.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.45 / $1,103.66 / $1,273.15	Facility		$744.45	$1,103.66	$1,273.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,103.66 / $1,576.66	Professional		$788.33	$1,103.66	$1,576.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.97 / $973.11 / $973.11	Facility		$820.97	$973.11	$973.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.01 / $885.70 / $1,358.14	Professional		$686.01	$885.70	$1,358.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,024.83	Professional		$32.34	$32.34	$1,024.83
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $942.11 / $1,425.14	Professional		$625.91	$942.11	$1,425.14