Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.94 / $771.88 / $2,747.00	Facility		$611.94	$771.88	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.94 / $713.74 / $771.88	Professional		$611.94	$713.74	$771.88
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 $556.19 / $681.06 / $932.60	Professional		$556.19	$681.06	$932.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.10 / $952.10 / $1,098.31	Facility		$663.10	$952.10	$1,098.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.08 / $952.10 / $1,360.14	Professional		$748.08	$952.10	$1,360.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.33 / $838.09 / $838.09	Facility		$752.33	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.93 / $971.68 / $1,374.55	Professional		$683.93	$971.68	$1,374.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $884.09	Professional		$32.34	$32.34	$884.09
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 $658.87 / $877.61 / $1,350.43	Professional		$658.87	$877.61	$1,350.43