Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.50 / $861.00 / $4,670.39	Facility		$829.50	$861.00	$4,670.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $861.00 / $1,042.34	Professional		$829.50	$861.00	$1,042.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.63 / $945.00 / $1,103.55	Facility		$653.63	$945.00	$1,103.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $800.00 / $800.00	Professional		$420.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,470.00 / $1,732.50	Facility		$1,050.00	$1,470.00	$1,732.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,417.50 / $2,100.00	Professional		$1,155.00	$1,417.50	$2,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $817.01 / $1,260.00	Facility		$682.50	$817.01	$1,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $1,206.36 / $5,061.00	Professional		$480.30	$1,206.36	$5,061.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $577.50 / $577.50	Professional		$577.50	$577.50	$577.50
United Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $625.41 / $1,155.00	Professional		$441.00	$625.41	$1,155.00