Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.66 / $845.19 / $8,229.00	Facility		$481.66	$845.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.66 / $561.79 / $726.70	Professional		$481.66	$561.79	$726.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.12 / $544.27 / $813.30	Professional		$446.12	$544.27	$813.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.15 / $749.04 / $864.08	Facility		$522.15	$749.04	$864.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.03 / $739.33 / $1,070.06	Professional		$535.03	$739.33	$1,070.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $715.57	Facility		$660.27	$660.27	$715.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.94 / $770.83 / $1,164.74	Professional		$545.94	$770.83	$1,164.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $695.54	Professional		$32.34	$32.34	$695.54
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.81 / $701.64 / $1,072.21	Professional		$506.81	$701.64	$1,072.21