Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.82 / $787.00 / $5,320.00	Facility		$514.82	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $584.99 / $649.37	Professional		$514.82	$584.99	$649.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.10 / $551.50 / $796.46	Professional		$466.10	$551.50	$796.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.59 / $802.49 / $925.74	Facility		$559.59	$802.49	$925.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $560.30 / $802.49 / $1,146.42	Professional		$560.30	$802.49	$1,146.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.03 / $707.88 / $707.88	Facility		$576.03	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.90 / $815.67 / $1,148.49	Professional		$569.90	$815.67	$1,148.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $745.17	Professional		$32.34	$32.34	$745.17
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 $529.82 / $754.67 / $1,146.07	Professional		$529.82	$754.67	$1,146.07