Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.08 / $1,243.00 / $8,229.00	Facility		$618.08	$1,243.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.38 / $714.96 / $841.14	Professional		$609.38	$714.96	$841.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $666.29 / $912.39	Professional		$542.29	$666.29	$912.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.62 / $947.87 / $1,093.43	Facility		$665.62	$947.87	$1,093.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $745.50 / $947.87 / $1,354.10	Professional		$745.50	$947.87	$1,354.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.96 / $839.94 / $839.94	Facility		$725.96	$839.94	$839.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.04 / $922.39 / $1,262.32	Professional		$681.04	$922.39	$1,262.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $880.17	Professional		$32.34	$32.34	$880.17
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.25 / $896.13 / $1,425.48	Professional		$679.25	$896.13	$1,425.48