Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $760.86 / $5,320.00	Facility		$557.00	$760.86	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.91 / $699.76 / $949.40	Professional		$518.91	$699.76	$949.40
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 $390.75 / $459.71 / $759.61	Professional		$390.75	$459.71	$759.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.30 / $696.56 / $796.06	Facility		$496.30	$696.56	$796.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.92 / $701.53 / $1,119.47	Professional		$570.92	$701.53	$1,119.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.23 / $915.47 / $1,117.44	Facility		$474.23	$915.47	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.48 / $758.88 / $2,575.62	Professional		$488.48	$758.88	$2,575.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $367.55	Professional		$32.34	$32.34	$367.55
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.42 / $794.00 / $1,304.43	Professional		$611.42	$794.00	$1,304.43