Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.45 / $842.96 / $5,320.00	Facility		$547.45	$842.96	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.45 / $630.84 / $842.96	Professional		$547.45	$630.84	$842.96
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 $571.54 / $706.03 / $1,046.80	Professional		$571.54	$706.03	$1,046.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.85 / $883.08 / $1,018.69	Facility		$605.85	$883.08	$1,018.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.77 / $853.24 / $1,261.54	Professional		$630.77	$853.24	$1,261.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $774.06 / $1,041.81	Facility		$774.06	$774.06	$1,041.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.75 / $988.39 / $1,385.44	Professional		$704.75	$988.39	$1,385.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $820.00	Professional		$32.34	$32.34	$820.00
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 $677.34 / $928.89 / $1,263.08	Professional		$677.34	$928.89	$1,263.08