Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.80 / $787.00 / $8,229.00	Facility		$583.80	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $623.35 / $708.35	Professional		$513.75	$623.35	$708.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.35 / $680.31 / $956.22	Professional		$463.35	$680.31	$956.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $851.12 / $851.12	Facility		$795.84	$851.12	$851.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,344.54 / $1,344.54 / $1,344.54	Professional		$1,344.54	$1,344.54	$1,344.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.60 / $1,045.97 / $1,045.97	Facility		$591.60	$1,045.97	$1,045.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $863.64 / $1,320.01	Professional		$592.04	$863.64	$1,320.01
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.39 / $893.01 / $1,420.36	Professional		$587.39	$893.01	$1,420.36