Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.33 / $787.00 / $3,740.00	Facility		$463.33	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.58 / $728.92 / $902.93	Professional		$574.58	$728.92	$902.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.36 / $532.33 / $838.74	Professional		$443.36	$532.33	$838.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $627.75 / $876.30 / $1,010.88	Facility		$627.75	$876.30	$1,010.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.52 / $877.87 / $1,408.34	Professional		$688.52	$877.87	$1,408.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.33 / $1,151.71 / $1,151.71	Facility		$425.33	$1,151.71	$1,151.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.95 / $912.28 / $1,427.97	Professional		$538.95	$912.28	$1,427.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $181.69 / $823.64	Professional		$32.34	$181.69	$823.64
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.49 / $936.49 / $1,493.71	Professional		$621.49	$936.49	$1,493.71