Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.40 / $718.28 / $2,747.00	Facility		$562.40	$718.28	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $655.85 / $767.49	Professional		$562.40	$655.85	$767.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.71 / $629.36 / $908.21	Professional		$528.71	$629.36	$908.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $609.08 / $874.40 / $1,008.67	Facility		$609.08	$874.40	$1,008.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.52 / $874.40 / $1,249.14	Professional		$687.52	$874.40	$1,249.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.27 / $769.64 / $769.64	Facility		$707.27	$769.64	$769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.08 / $899.55 / $1,260.90	Professional		$645.08	$899.55	$1,260.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.94	Professional		$32.34	$32.34	$811.94
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 $587.74 / $834.63 / $1,257.08	Professional		$587.74	$834.63	$1,257.08