Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.37 / $843.37 / $3,740.00	Facility		$631.37	$843.37	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.37 / $729.02 / $843.37	Professional		$631.37	$729.02	$843.37
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 $477.91 / $562.25 / $723.86	Professional		$477.91	$562.25	$723.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.82 / $971.91 / $1,121.17	Facility		$666.82	$971.91	$1,121.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.64 / $971.91 / $1,388.44	Professional		$763.64	$971.91	$1,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $852.80	Facility		$852.80	$852.80	$852.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.62 / $1,019.08 / $1,492.36	Professional		$716.62	$1,019.08	$1,492.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $902.49	Professional		$32.34	$32.34	$902.49
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 $705.78 / $977.22 / $1,487.52	Professional		$705.78	$977.22	$1,487.52