Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.89 / $804.30 / $2,747.00	Facility		$624.89	$804.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $723.62 / $850.74	Professional		$624.89	$723.62	$850.74
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 $564.69 / $718.75 / $998.07	Professional		$564.69	$718.75	$998.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.18 / $967.61 / $1,116.21	Facility		$675.18	$967.61	$1,116.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.15 / $967.61 / $1,382.30	Professional		$691.15	$967.61	$1,382.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.99 / $849.99 / $849.99	Facility		$791.99	$849.99	$849.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.87 / $994.38 / $1,412.48	Professional		$747.87	$994.38	$1,412.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $898.50	Professional		$32.34	$32.34	$898.50
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,395.36 / $6,295.00	Facility		$599.00	$2,395.36	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.92 / $930.08 / $1,414.11	Professional		$666.92	$930.08	$1,414.11