Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.09 / $787.00 / $8,229.00	Facility		$484.09	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.09 / $562.16 / $662.76	Professional		$484.09	$562.16	$662.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.94 / $519.77 / $735.30	Professional		$425.94	$519.77	$735.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.25 / $750.48 / $865.74	Facility		$525.25	$750.48	$865.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $750.48 / $1,072.11	Professional		$536.05	$750.48	$1,072.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $662.14 / $662.14	Facility		$627.98	$662.14	$662.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.70 / $740.77 / $1,074.83	Professional		$546.70	$740.77	$1,074.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.88	Professional		$32.34	$32.34	$696.88
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $683.23 / $1,084.61	Professional		$499.96	$683.23	$1,084.61