Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.99 / $787.00 / $3,740.00	Facility		$579.99	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.99 / $669.15 / $774.03	Professional		$579.99	$669.15	$774.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.61 / $516.02 / $664.27	Professional		$438.61	$516.02	$664.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.15 / $892.18 / $1,029.19	Facility		$612.15	$892.18	$1,029.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.27 / $892.18 / $1,274.54	Professional		$637.27	$892.18	$1,274.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $782.81 / $782.81	Facility		$782.81	$782.81	$782.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.62 / $935.29 / $1,369.71	Professional		$657.62	$935.29	$1,369.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $828.45	Professional		$32.34	$32.34	$828.45
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.88 / $914.17 / $1,362.00	Professional		$648.88	$914.17	$1,362.00