Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.10 / $692.41 / $2,747.00	Facility		$546.10	$692.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $692.41 / $849.66	Professional		$546.10	$692.41	$849.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.87 / $614.46 / $860.51	Professional		$460.87	$614.46	$860.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.51 / $746.16 / $847.56	Facility		$617.51	$746.16	$847.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.40 / $872.05 / $1,516.60	Professional		$605.40	$872.05	$1,516.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.65 / $1,113.94 / $1,113.94	Facility		$466.65	$1,113.94	$1,113.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.80 / $798.86 / $1,293.46	Professional		$574.80	$798.86	$1,293.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $985.79	Professional		$32.34	$32.34	$985.79
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.96 / $878.75 / $1,412.12	Professional		$675.96	$878.75	$1,412.12