Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.09 / $679.55 / $8,229.00	Facility		$557.09	$679.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.09 / $633.04 / $997.05	Professional		$557.09	$633.04	$997.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $610.50 / $798.18	Professional		$517.54	$610.50	$798.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.12 / $767.27 / $895.77	Facility		$630.12	$767.27	$895.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.86 / $864.88 / $1,235.54	Professional		$561.86	$864.88	$1,235.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.02 / $761.08 / $1,829.00	Facility		$487.02	$761.08	$1,829.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.52 / $727.76 / $1,255.22	Professional		$569.52	$727.76	$1,255.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $803.10	Professional		$32.34	$32.34	$803.10
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $702.56 / $1,067.55	Professional		$550.01	$702.56	$1,067.55