Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.30 / $787.00 / $8,229.00	Facility		$616.30	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.30 / $720.25 / $950.27	Professional		$616.30	$720.25	$950.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.04 / $698.85 / $1,041.22	Professional		$554.04	$698.85	$1,041.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.68 / $991.05 / $1,143.25	Facility		$689.68	$991.05	$1,143.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.89 / $955.65 / $1,415.78	Professional		$707.89	$955.65	$1,415.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $935.72	Facility		$871.93	$871.93	$935.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.91 / $992.16 / $1,517.11	Professional		$711.91	$992.16	$1,517.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $920.26	Professional		$32.34	$32.34	$920.26
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $893.56 / $1,385.42	Professional		$638.04	$893.56	$1,385.42