Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.61 / $907.79 / $5,320.00	Facility		$490.61	$907.79	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.18 / $608.25 / $739.40	Professional		$411.18	$608.25	$739.40
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 $380.51 / $516.97 / $867.66	Professional		$380.51	$516.97	$867.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.14 / $631.15 / $728.08	Facility		$463.14	$631.15	$728.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.48 / $653.69 / $1,311.84	Professional		$536.48	$653.69	$1,311.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.21 / $829.51 / $829.51	Facility		$428.21	$829.51	$829.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.10 / $745.47 / $1,299.60	Professional		$491.10	$745.47	$1,299.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.88 / $817.67 / $1,381.83	Professional		$578.88	$817.67	$1,381.83