Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.80 / $787.00 / $8,229.00	Facility		$598.80	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.80 / $698.18 / $1,068.78	Professional		$598.80	$698.18	$1,068.78
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 $611.19 / $740.62 / $1,045.73	Professional		$611.19	$740.62	$1,045.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.19 / $935.51 / $1,079.18	Facility		$652.19	$935.51	$1,079.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.19 / $918.97 / $1,336.44	Professional		$653.19	$918.97	$1,336.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $1,052.41	Facility		$823.20	$823.20	$1,052.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.07 / $1,013.65 / $1,464.82	Professional		$705.07	$1,013.65	$1,464.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $868.69	Professional		$32.34	$32.34	$868.69
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 $687.52 / $951.94 / $1,405.86	Professional		$687.52	$951.94	$1,405.86