Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $879.89 / $5,320.00	Facility		$787.00	$879.89	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.36 / $879.89 / $1,055.48	Professional		$812.36	$879.89	$1,055.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.13 / $656.20 / $1,027.02	Professional		$511.13	$656.20	$1,027.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.18 / $1,061.31 / $1,212.93	Facility		$760.18	$1,061.31	$1,212.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.89 / $1,061.31 / $1,516.16	Professional		$833.89	$1,061.31	$1,516.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.13 / $963.74 / $1,728.48	Facility		$738.13	$963.74	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.54 / $864.58 / $1,549.58	Professional		$646.54	$864.58	$1,549.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $357.23	Professional		$32.34	$32.34	$357.23
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $790.83 / $1,324.77	Professional		$615.04	$790.83	$1,324.77