Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.57 / $842.42 / $5,320.00	Facility		$472.57	$842.42	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $559.55 / $741.70	Professional		$472.57	$559.55	$741.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,257.00 / $4,066.00	Facility		$1,258.00	$2,257.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $605.60 / $921.60	Professional		$498.24	$605.60	$921.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $763.20 / $880.40	Facility		$523.39	$763.20	$880.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $545.14 / $763.20 / $1,090.28	Professional		$545.14	$763.20	$1,090.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $916.67	Facility		$669.01	$669.01	$916.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.91 / $857.31 / $1,212.80	Professional		$608.91	$857.31	$1,212.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $708.68	Professional		$32.34	$32.34	$708.68
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.72 / $800.20 / $1,072.00	Professional		$566.72	$800.20	$1,072.00