Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.12 / $787.00 / $8,229.00	Facility		$609.12	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.12 / $707.78 / $852.39	Professional		$609.12	$707.78	$852.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $667.21 / $983.90	Professional		$535.54	$667.21	$983.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.55 / $940.58 / $1,085.01	Facility		$656.55	$940.58	$1,085.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.72 / $940.58 / $1,343.68	Professional		$656.72	$940.58	$1,343.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $839.33	Facility		$831.01	$831.01	$839.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.57 / $955.53 / $1,368.27	Professional		$687.57	$955.53	$1,368.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $873.39	Professional		$32.34	$32.34	$873.39
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 $606.29 / $890.24 / $1,332.50	Professional		$606.29	$890.24	$1,332.50