Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.99 / $917.11 / $8,229.00	Facility		$548.99	$917.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.99 / $658.58 / $917.11	Professional		$548.99	$658.58	$917.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.50 / $595.21 / $888.44	Professional		$498.50	$595.21	$888.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $864.26 / $996.99	Facility		$610.55	$864.26	$996.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $679.06 / $864.26 / $1,234.66	Professional		$679.06	$864.26	$1,234.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $903.06	Facility		$781.05	$781.05	$903.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.01 / $886.66 / $1,259.63	Professional		$627.01	$886.66	$1,259.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $802.53	Professional		$32.34	$32.34	$802.53
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.11 / $834.97 / $1,166.99	Professional		$568.11	$834.97	$1,166.99