Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.49 / $1,243.00 / $8,229.00	Facility		$617.49	$1,243.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.49 / $714.38 / $931.22	Professional		$617.49	$714.38	$931.22
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 $579.01 / $686.11 / $1,023.60	Professional		$579.01	$686.11	$1,023.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.04 / $955.12 / $1,101.81	Facility		$666.04	$955.12	$1,101.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $750.03 / $955.12 / $1,364.46	Professional		$750.03	$955.12	$1,364.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.89 / $838.09 / $838.09	Facility		$823.89	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.36 / $998.21 / $1,417.79	Professional		$695.36	$998.21	$1,417.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $886.90	Professional		$32.34	$32.34	$886.90
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 $664.22 / $918.83 / $1,396.12	Professional		$664.22	$918.83	$1,396.12