Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.69 / $896.00 / $8,229.00	Facility		$523.69	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.69 / $599.37 / $731.43	Professional		$523.69	$599.37	$731.43
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 $521.54 / $648.91 / $890.80	Professional		$521.54	$648.91	$890.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.62 / $812.01 / $1,015.02	Facility		$570.62	$812.01	$1,015.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $566.96 / $812.01 / $1,160.02	Professional		$566.96	$812.01	$1,160.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.09 / $713.09 / $720.23	Facility		$713.09	$713.09	$720.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $867.04 / $1,275.42	Professional		$650.96	$867.04	$1,275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $754.01	Professional		$32.34	$32.34	$754.01
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 $592.48 / $836.42 / $1,248.60	Professional		$592.48	$836.42	$1,248.60